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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.
Afiliación
  • Salama AF; Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt.
  • Abd Ellatif ME; Department of Surgery, Al-Jahra Hospital, Jahra, Kuwait.
  • Abd Elaziz H; Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, 35511, Dakahlia, Egypt. surg_latif@hotmail.com.
  • Magdy A; Department of Surgery, Hafr Elbatin Central Hospital, Hafr Elbatin, Kingdom of Saudi Arabia. surg_latif@hotmail.com.
  • Rizk H; Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt.
  • Basheer M; Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, 35511, Dakahlia, Egypt.
  • Jamal W; Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt.
  • Dawoud I; Department of Surgery, University of Jeddah, Jeddah, Kingdom of Saudi Arabia.
  • El Nakeeb A; Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, 35511, Dakahlia, Egypt.
BMC Surg ; 17(1): 32, 2017 Mar 31.
Article en En | MEDLINE | ID: mdl-28359270
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colangiografía / Colangiopancreatografia Retrógrada Endoscópica / Colecistectomía Laparoscópica / Coledocolitiasis Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Surg Año: 2017 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colangiografía / Colangiopancreatografia Retrógrada Endoscópica / Colecistectomía Laparoscópica / Coledocolitiasis Tipo de estudio: Observational_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Surg Año: 2017 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido