Abstract：
Purpose:Repeating endoscopic retrograde cholangiopancreatography (ERCP) in patients with recurrent common bile duct (CBD) stones is problematic in many ways. Choledochoduodenostomy (CDS) and choledochojejunostomy (CJS) are 2 surgical treatment options for recurrent CBD stones, and each has different advantages and disadvantages. The aim of this study was to compare the 2 surgical options in terms of the recurrence rate of CBD stones after surgical treatment. Methods:This retrospective multicenter study included all patients who underwent surgical treatment due to recurrent CBD stones that were not effectively controlled by medical treatment and repeated ERCP between January 2006 and March 2015. We collected data from chart reviews and medical records. A recurrent CBD stone was defined as a stone found 6 months after the complete removal of a CBD stone by ERCP. Patients who underwent surgery for other reasons were excluded. Results:A total of 27 patients were enrolled in this study. Six patients underwent CDS, and 21 patients underwent CJS for the rescue treatment of recurrent CBD stones. The median follow-up duration was 290 (180-1,975) days in the CDS group and 1,474 (180-6,560) days in the CJS group (P = 0.065). The postoperative complications were similar and tolerable in both groups (intestinal obstruction; 2 of 27, 7.4%; 1 in each group). CBD stones recurred in 4 patients after CDS (4 of 6, 66.7%), and 3 patients after CJS (3 of 21, 14.3%) (P = 0.010). Conclusion:CJS may be a better surgical option than CDS for preventing further stone recurrence in patients with recurrent CBD stones.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Park CY,Choi SH,Kwon CI,Cho JH,Jang SI,Lee TH,Han JH,Jeong S,Ko KHdoi
10.4174/astr.2020.99.6.329subject
Has Abstractpub_date
2020-12-01 00:00:00pages
329-336issue
6eissn
2288-6575issn
2288-6796journal_volume
99pub_type
杂志文章abstract：:Laparoscopic live donor nephrectomy (DN) has been established as a useful alternative to the traditional open methods of procuring kidneys. To maximize the advantages of the laparoendoscopic single-site (LESS) method, we applied natural orifice specimen extraction to LESS-DN. A 46-year-old woman with no previous abdom...
journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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abstract：:The majority of malignant melanomas in the small intestine are metastases from primary cutaneous lesions, it can also develop as a primary mucosal tumor in the gastrointestinal tract. In this report, we present rare cases of primary small bowel melanoma and review the current literature. A 78-year-old male presented w...
journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2018.94.5.274
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 已发布勘误
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2018.94.2.102
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journal_title：Annals of surgical treatment and research
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更新日期：2015-04-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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更新日期：2015-11-01 00:00:00
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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更新日期：2020-03-01 00:00:00
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