A survey of European-African surgeons' management of common bile duct stones

Abstract

Indications for single-stage LCBDE are not standardized and do not appear well established across E-AHPBA members.

Comparison of open, laparo-endoscopic and one-stage laparoscopic approaches for treatment of gallbladder and common bile duct stones

“…[7,9] In Europe-Africa survey, one-stage laparoscopic approach is being applied in 12% of patients. [8] American study shows that during 1998-2016, supporters of two-stage approach increase, but those of laparoscopic and open methods decrease. [9] Though the supporters of open method are few, this method is being justified in some countries due to its low costs and when laparoscopic and endoscopic approaches failure.…”

“…Metanalysis by Feng Q and co-authors revealed that there were no significant differences between laparoscopic choledochotomy and transcystic interventions regarding stone clearance, general complications, operating time, however, better results were observed in transcystic group in terms of biliary complications, hospital stay and expenses. [14] Despite of its several advantages, transcystic management also has some disadvantages such as cannulation difficulty, transition to choledochotomy in large stones, [8,15] and lithotripsy. [16] Some authors consider the transcystic approach as risky in stones of larger than 20 mm.…”

“…[6,7] During 1990s, with the extensive application of laparoscopic cholecystectomy, two-stage endoscopic-laparoscopic method has emerged (pre-or postoperative ERCP and laparoscopic cholecystectomy), and is considered the most common approach at present. [8,9] Two-stage endoscopic-laparoscopic approach has certain disadvantages such as complication (pancreatitis, duodenal injury), twice exposure to surgery, and high costs. [7,10] There is no unanimous opinion of surgeons and researchers about one-stage laparoscopic approach, which has emerged due to increase in laparoscopy experience, and supporters of this approach are between 3-12% and even are gradually decreasing in some countries.…”

“…[7,10] There is no unanimous opinion of surgeons and researchers about one-stage laparoscopic approach, which has emerged due to increase in laparoscopy experience, and supporters of this approach are between 3-12% and even are gradually decreasing in some countries. [8] The aim of our study is to present the comparative results of open, two-stage endoscopic-laparoscopic and onestage laparoscopic methods applied in the treatment of cholecysto-choledocholithiasis retrospectively.…”

Clinical analysis of treatment strategies to cholecystocholedocholithiasis patients with previous subtotal or total gastrectomy: a retrospective cohort study

“…Treatment options for cholecystocholedocholithiasis (CCL) include two-stage endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) (i.e., ERCP+LC), one-stage laparoscopic common bile duct exploration (CBDE) and LC (i.e., LCBDE+LC), and laparotomic CBDE and cholecystectomy [ 1 , 2 ]. With the development of laparoscopic and endoscopic equipment and technology, open CBDE is now rarely applied in clinical practice [ 3 ].…”