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Preliminary experience with laparoscopic common bile duct exploration

BACKGROUND: Herein we present our experience with laparoscopic common bile duct exploration (LCBDE) in managing common bile duct stones. METHODS: Data of 129 consecutive patients who underwent laparoscopic cholecystectomy (LC) and LCBDE done at our institutes from April 2011 through June 2016 were p...

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Autores principales: Salama, Asaad F., Abd Ellatif, Mohamed E., Abd Elaziz, Hesham, Magdy, Alaa, Rizk, Hisham, Basheer, Magdy, Jamal, Wisam, Dawoud, Ibrahim, El Nakeeb, Ayman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374560/
https://www.ncbi.nlm.nih.gov/pubmed/28359270
http://dx.doi.org/10.1186/s12893-017-0225-y
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author Salama, Asaad F.
Abd Ellatif, Mohamed E.
Abd Elaziz, Hesham
Magdy, Alaa
Rizk, Hisham
Basheer, Magdy
Jamal, Wisam
Dawoud, Ibrahim
El Nakeeb, Ayman
author_facet Salama, Asaad F.
Abd Ellatif, Mohamed E.
Abd Elaziz, Hesham
Magdy, Alaa
Rizk, Hisham
Basheer, Magdy
Jamal, Wisam
Dawoud, Ibrahim
El Nakeeb, Ayman
author_sort Salama, Asaad F.
collection PubMed
description BACKGROUND: Herein we present our experience with laparoscopic common bile duct exploration (LCBDE) in managing common bile duct stones. METHODS: Data of 129 consecutive patients who underwent laparoscopic cholecystectomy (LC) and LCBDE done at our institutes from April 2011 through June 2016 were prospectively recorded and retrospectively reviewed. RESULTS: Since 2011, 3012 laparoscopic cholecystectomy were performed at our institutes, intraoperative cholangiogram (IOC) was done in 295 (9.8%) patients which detected choledocholithiasis in 129 (4.3%) of them. LCBDE was successful to clear the common bile duct (CBD) in 123/129 (95.4%). Six patients underwent postoperative endoscopic retrograde cholangiopancreatography (ERCP) because of incomplete CBD clearance (4 cases), symptomatic stenosed papilla (2 cases). LCBDE was performed in 103 patients via trans-cystic approach and choledochotomy one in 26 patients. In the choledochotomy group, seven patients had primary closure of the CBD, CBD was closed over T-tube in nine patients whereas the remaining 10 patients the CBD was closed over antegrade inserted stent. The median time of hospital stay was 4 (range; 1–15) days. No patients showed retained CBD stones with mean follow up was 9 ± 3.4 months. CONCLUSION: LCBDE is a safe and cost effective option for CBD stones in short-term outcome and can be performed provided proper laparoscopic expertise and facilities are available.
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spelling pubmed-53745602017-03-31 Preliminary experience with laparoscopic common bile duct exploration Salama, Asaad F. Abd Ellatif, Mohamed E. Abd Elaziz, Hesham Magdy, Alaa Rizk, Hisham Basheer, Magdy Jamal, Wisam Dawoud, Ibrahim El Nakeeb, Ayman BMC Surg Research Article BACKGROUND: Herein we present our experience with laparoscopic common bile duct exploration (LCBDE) in managing common bile duct stones. METHODS: Data of 129 consecutive patients who underwent laparoscopic cholecystectomy (LC) and LCBDE done at our institutes from April 2011 through June 2016 were prospectively recorded and retrospectively reviewed. RESULTS: Since 2011, 3012 laparoscopic cholecystectomy were performed at our institutes, intraoperative cholangiogram (IOC) was done in 295 (9.8%) patients which detected choledocholithiasis in 129 (4.3%) of them. LCBDE was successful to clear the common bile duct (CBD) in 123/129 (95.4%). Six patients underwent postoperative endoscopic retrograde cholangiopancreatography (ERCP) because of incomplete CBD clearance (4 cases), symptomatic stenosed papilla (2 cases). LCBDE was performed in 103 patients via trans-cystic approach and choledochotomy one in 26 patients. In the choledochotomy group, seven patients had primary closure of the CBD, CBD was closed over T-tube in nine patients whereas the remaining 10 patients the CBD was closed over antegrade inserted stent. The median time of hospital stay was 4 (range; 1–15) days. No patients showed retained CBD stones with mean follow up was 9 ± 3.4 months. CONCLUSION: LCBDE is a safe and cost effective option for CBD stones in short-term outcome and can be performed provided proper laparoscopic expertise and facilities are available. BioMed Central 2017-03-31 /pmc/articles/PMC5374560/ /pubmed/28359270 http://dx.doi.org/10.1186/s12893-017-0225-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Salama, Asaad F.
Abd Ellatif, Mohamed E.
Abd Elaziz, Hesham
Magdy, Alaa
Rizk, Hisham
Basheer, Magdy
Jamal, Wisam
Dawoud, Ibrahim
El Nakeeb, Ayman
Preliminary experience with laparoscopic common bile duct exploration
title Preliminary experience with laparoscopic common bile duct exploration
title_full Preliminary experience with laparoscopic common bile duct exploration
title_fullStr Preliminary experience with laparoscopic common bile duct exploration
title_full_unstemmed Preliminary experience with laparoscopic common bile duct exploration
title_short Preliminary experience with laparoscopic common bile duct exploration
title_sort preliminary experience with laparoscopic common bile duct exploration
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374560/
https://www.ncbi.nlm.nih.gov/pubmed/28359270
http://dx.doi.org/10.1186/s12893-017-0225-y
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