Preliminary experience with laparoscopic common bile duct exploration.

Abstract:

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.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Salama AF,Abd Ellatif ME,Abd Elaziz H,Magdy A,Rizk H,Basheer M,Jamal W,Dawoud I,El Nakeeb A

doi

10.1186/s12893-017-0225-y

subject

Has Abstract

pub_date

2017-03-31 00:00:00

pages

32

issue

1

issn

1471-2482

pii

10.1186/s12893-017-0225-y

journal_volume

17

pub_type

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