The Efficiency of Laparoscopic Common Bile Duct Exploration in Endoscopic Retrograde-Cholangiopancreatography-Limited Setting in a Peripheral University Hospital.
| Autor: | Yildirim, Murat, Dasiran, Fatih, Ozsoy, Ugur, Daldal, Emin, Kocabay, Asim, Okan, Ismail |
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| Předmět: |
LAPAROSCOPIC common bile duct exploration
ENDOSCOPIC retrograde cholangiopancreatography UNIVERSITY hospitals GALLSTONES BILE duct surgery LENGTH of stay in hospitals SUTURING RESEARCH ACADEMIC medical centers SURGICAL anastomosis RESEARCH methodology MEDICAL care costs SURGICAL complications RETROSPECTIVE studies EVALUATION research COMPARATIVE studies MEDICAL drainage |
| Zdroj: | Journal of Laparoendoscopic & Advanced Surgical Techniques; Jun2021, Vol. 31 Issue 6, p665-671, 7p |
| Abstrakt: | Background: The aim of this study is to evaluate complications and costs in patients treated with laparoscopic and open method for common bile duct (CBD) stones. Secondary aim is to compare the effectiveness, safety, and outcomes of these methods. In addition, it is aimed to review the feasibility of laparoscopic method in rural areas. Methods: Seventy-one patients were analyzed retrospectively. Patients were divided into two groups as open and laparoscopic surgical method. These groups were analyzed comparatively in terms of complications and costs. Subgroups were formed from patients who underwent T-tube drainage, primary closure, and biliary anastomosis as choledochotomy management. As a secondary outcome, these three subgroups were investigated in terms of complications and cost. Results: The cost was lower in open method compared to laparoscopic method (484$, 707$, P = .002). There was no significant difference in postoperative complications between groups (P = .257). While the mean hospital stay was longer in the open group, the operation time was shorter (P = .002, P = .03). The mean length of hospital stay in the T-tube group was significantly higher than the primary closure (P = .001). The cost in the T-tube group was significantly higher than the primary closure and biliary anastomosis groups. Conclusion: Laparoscopic CBD exploration by experienced surgeons in endoscopic retrograde-cholangiopancreatography-limited settings is an effective and safe method in the treatment of choledocholithiasis. This procedure should not be limited to reference centers and should be performed safely in rural areas by well-trained surgeons. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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