Laparoscopic common bile duct exploration and primary closure of choledochotomy after failed endoscopic sphincterotomy
| Autor: | Guang-Jun Zhou, Yong Zhou, Wen-Zhang Zha, Xu-Dong Wu, Xiang-Ming Mu, Jing Jia, Ren-Gen Fan |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Common bile duct stones ERCP/EST Gallstones Sphincterotomy Endoscopic medicine Stone extraction Biliary peritonitis Humans Aged Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Common Bile Duct Common bile duct exploration Endoscopic retrograde cholangiopancreatography Laparoscopic common bile duct exploration Common bile duct medicine.diagnostic_test business.industry General surgery Biliary fistula General Medicine Middle Aged medicine.disease Surgery Primary closure medicine.anatomical_structure Choledocholithiasis Treatment Outcome Cholecystectomy Laparoscopic Pancreatitis Operative time Feasibility Studies Laparoscopy business |
| Zdroj: | International Journal of Surgery. 12(7):645-648 |
| ISSN: | 1743-9191 |
| DOI: | 10.1016/j.ijsu.2014.05.059 |
| Popis: | Background The aim of this study is to evaluate the safety and feasibility of laparoscopic common bile duct exploration and primary closure of choledochotomy for the patients with common bile duct stones (CBDS) who failed in endoscopic sphincterotomy (EST). Methods Between January 2007 and June 2012, a total of 78 patients who subjected to endoscopic retrograde cholangiopancreatography (ERCP) and EST, but failed in endoscopic stone extraction, were referred to us. The following day, laparoscopic cholecystectomy, laparoscopic common bile duct exploration (LCBDE) and primary closure of choledochotomy were performed in all patients. Results No intraoperative complications were experienced in the patients. 6 patients required conversion to open cholecystectomy due to impacted stones. The mean operative time was 145 min. The mean postoperative hospital stay was 6d. All the patients achieved successful stone clearance. 13 cases had slight bile leaks, which resolved spontaneously. None of the patients experienced biliary peritonitis, biliary fistula, pancreatitis, or cholangitis. Conclusion If it is performed by experienced laparoscopic surgeons, primary closure following immediate laparoscopic common bile duct exploration (LCBDE) is safe and feasible for patients with CBDS who fail in endoscopic stone extraction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect