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Laparoscopic Choledochotomy in a Solitary Common Duct Stone: A Prospective Study.

作者信息

Deo K B, Adhikary S, Khaniya S, Shakya V C, Agrawal C S

机构信息

Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

Minim Invasive Surg. 2018 May 14;2018:8080625. doi: 10.1155/2018/8080625. eCollection 2018.


DOI:10.1155/2018/8080625
PMID:29862073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5976910/
Abstract

BACKGROUND: Laparoscopic common bile duct exploration has all the advantages of minimal access and is also the most cost effective compared to the other options. OBJECTIVE: To study a profile on laparoscopic common bile duct exploration for a single common duct stone. METHODS: A total of 30 consecutive patients with solitary common bile duct stone attending our hospital over a period of one year were enrolled in the study. Laparoscopic common bile duct exploration was done by transductal route in all the patients. RESULTS: There were 18 females and 12 males with age ranging from 28 to 75 years. Jaundice was present in 12 (40%) patients. Twenty-four (80%) patients had raised alkaline phosphatase. The mean size of CBD on ultrasound was 11.55 mm. The mean size of calculus was 11.06 mm and was located in the distal CBD in 26 (86.7%) patients. The mean operative time was 158.4 ± 57.89 min. There were 8 (26.6%) conversions to open procedure. T-tube was used in 26 (86.7%) patients. The postoperative complications were hospital acquired chest infection in 3 (10%), surgical site infection in 3 (10%), acute coronary syndrome in one (3.3%), and bile leak after T-tube removal in one (3.3%) patient. CONCLUSIONS: Laparoscopic common bile duct exploration is an effective, safe management of common bile duct stone.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c6/5976910/40a60dbc1d3f/MIS2018-8080625.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c6/5976910/95a3242468de/MIS2018-8080625.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c6/5976910/40a60dbc1d3f/MIS2018-8080625.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c6/5976910/95a3242468de/MIS2018-8080625.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c6/5976910/40a60dbc1d3f/MIS2018-8080625.002.jpg

相似文献

[1]
Laparoscopic Choledochotomy in a Solitary Common Duct Stone: A Prospective Study.

Minim Invasive Surg. 2018-5-14

[2]
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[3]
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[6]
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引用本文的文献

[1]
Safety and efficacy of laparoscopic common bile duct exploration for the patients with difficult biliary stones: 8 years of experiences at a single institution and literature review.

Surg Endosc. 2022-1

[2]
Surgical (Open and laparoscopic) management of large difficult CBD stones after different sessions of endoscopic failure: A retrospective cohort study.

Ann Med Surg (Lond). 2019-5-31

[3]
Biliary tract exploration through a common bile duct incision or left hepatic duct stump in laparoscopic left hemihepatectomy for left side hepatolithiasis: which is better?: A single-center retrospective case-control study.

Medicine (Baltimore). 2018-11

本文引用的文献

[1]
Laparoscopic exploration can salvage failed endoscopic bile duct stone extraction.

Singapore Med J. 2012-5

[2]
Closure of the Common Duct -Endonasobiliary Drainage Tubes vs. T Tube: A Comparative Study.

Indian J Surg. 2010-10

[3]
Antegrade common bile duct (CBD) stenting after laparoscopic CBD exploration.

J Minim Access Surg. 2007-1

[4]
A study of preoperative factors associated with a poor outcome following laparoscopic bile duct exploration.

Surg Endosc. 2010-6-22

[5]
Laparoscopic management of CBD stones: an Indian experience.

Surg Endosc. 2010-6-10

[6]
Laparoscopic common bile duct exploration: our first 50 cases.

Ann Acad Med Singap. 2010-2

[7]
Use of rigid nephroscope for laparoscopic common bile duct exploration-a single-center experience.

World J Surg. 2010-4

[8]
Prospective randomized trial of LC+LCBDE vs ERCP/S+LC for common bile duct stone disease.

Arch Surg. 2010-1

[9]
Laparoscopic common bile duct exploration.

Ann Surg. 2008-4

[10]
Laparoscopic common bile duct stone clearance with flexible choledochoscopy.

Surg Endosc. 2007-12

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