Laparoscopic Choledochoduodenostomy for Biliary Alleviation

Okamoto, Hiroyuki; Maruyama, Suguru; Takahashi, Kazunori; Kawashima, Kenji; Fukasawa, Tetsuo; Fujii, Hideki

doi:10.4236/ss.2017.82008

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…19 Minimally invasive techniques, such as laparoscopic side-to-side CDD, have been increasingly adapted for use and have been reported to be clinically useful. 20,21…”

Section: Discussionmentioning

confidence: 99%

Choledochodudenostomy for bile duct injuries: a less demanding option, in a demanding surgical situation

Aggarwal¹,

Mathur²,

Kaur³

2019

Int Surg J

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Cholecystectomy is one of the most common surgical procedure performed worldwide and therefore a common cause for iatrogenic biliary tract injury. Bile duct injuries are associated with significant morbidity and are a potentially fatal complication. Choledochodudenostomy in patients of post cholecystectomy bile duct injury can be done safely by experienced surgeons in CBD injuries distal to the confluence of the cystic and common hepatic duct after eradication of sepsis. Choledochoduodenostomy has its own technical advantages and it maintains the normal anatomy. As compared with a routine Roux-en-Y hepaticojejunostomy, CDD is technically easier, faster, requires less manipulation of the CBD, and is more physiological. We present a case report of a patient of laparoscopic cholecystectomy with CBD injury managed with choledochoduodenostomy who did extremely well after procedure with no immediate and delayed postoperative complication.

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“…19 Minimally invasive techniques, such as laparoscopic side-to-side CDD, have been increasingly adapted for use and have been reported to be clinically useful. 20,21…”

Section: Discussionmentioning

confidence: 99%

Choledochodudenostomy for bile duct injuries: a less demanding option, in a demanding surgical situation

Aggarwal¹,

Mathur²,

Kaur³

2019

Int Surg J

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“…Minimally invasive techniques, such as laparoscopic sideto-side CDD, have been increasingly adapted for use and have been reported to be clinically useful. 41,42 We have now performed several cases of laparoscopic CDD, a candidate technique for minimally invasive treatment of benign biliary obstruction and observed no sump syndrome.…”

Section: Discussionmentioning

confidence: 99%

Current assessment of choledochoduodenostomy: 130 consecutive series

Okamoto

Miura

Itakura

et al. 2017

annals

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Introduction Cholelithiasis usually can be managed successfully by endoscopic sphincterotomy. Choledochoduodenostomy (CDD) is one of the surgical treatment options but its acceptance remains debated because of the risk of reflux cholangitis and sump syndrome. The aim of this study was to assess the current features and outcomes of patient undergoing CDD. Patients and methods We retrospectively analysed the surgical results of consecutive 130 patients treated by CDD between 1991 and 2013 and excluded five cases with a malignant disorder. Indications for surgery included endoscopic management where stones were difficult or failed to pass and primary common bile duct stones with choledochal dilatation. Incidences of reflux cholangitis, stone recurrence, pancreatitis or sump syndrome were investigated and the data between end-to-side and side-to-side CDD were compared. Results Reflux cholangitis and stone recurrence was 1.6% (2/125) and 0% (0/125) of cases by CDD. There is no therapeutic-related pancreatitis in CDD. Sump syndrome was not also observed in side-to-side CDD. Conclusions This study is a first comparative study between end-to-side and side-to-side CDD. The surgical outcomes for CDD treatment of choledocholithiasis were acceptable. The incidence of reflux cholangitis, stone recurrence, pancreatitis and sump syndrome was very low.

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“…Hirotaka Okamoto Department of Surgery, Tsuru municipal Hospital, Department of Gastrointestinal, Breast and Endocrine Surgery, University of Yamanashi, Japan *Address all correspondence to: hirotakaoka@hotmail.com sutures should be placed in a running fashion followed the anterior row sutures can be completed as the same fashion [25]. There are some discussions about whether a side-to-side or end-to-side anastomosis of the CDD is prefer in the laparoscopic surgery.…”

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confidence: 99%

Minimally Invasive Treatment for Cholelithiasis

Okamoto¹

2022

Gallstones - Review and Recent Progress

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Gallstone disease, cholecysto- and choledocho-lithiasis, is one of the most common digestive diseases. Most patients with symptomatic cholecystolithiasis are recommended to undergo cholecystectomy to alleviate their symptoms like abdominal pain and jaundice. Approximately 10–20% of patients who undergo cholecystectomy for gallstones have choledocholithiasis. Nowadays, endoscopic and/or laparoscopic approaches are widely accepted as the treatment for patients with gallstone. Patients with cholecystolithiasis are usually treated by laparoscopic cholecystectomy, whereas patients with choledocholithiasis are done by endoscopic sphincterotomy (EST) or laparoscopic common bile duct exploration (LCBDE). Additionally, some cases are treated by biliary reconstruction such as biliary enteric anastomosis. In this chapter, currently available laparoscopic approaches as a minimally invasive surgery are introduced and discussed on the basis of pathogenesis of the gallstone.

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Laparoscopic Choledochoduodenostomy for Biliary Alleviation

Cited by 4 publications

References 20 publications

Choledochodudenostomy for bile duct injuries: a less demanding option, in a demanding surgical situation

Choledochodudenostomy for bile duct injuries: a less demanding option, in a demanding surgical situation

Current assessment of choledochoduodenostomy: 130 consecutive series

Minimally Invasive Treatment for Cholelithiasis

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