Laparoscopic Common Bile Duct Exploration With Primary Closure After Failed Endoscopic Retrograde Cholangiopancreatography Without Intraoperative Cholangiography: A Case Series from a Referral Center in Bogota, Colombia

Gómez, Daniel; Cabrera, Luis Felipe; Villarreal, Ricardo; Pedraza, Mauricio; Pulido, Jean; Sebastián, Sánchez; Urrutia, Andrés; Mendoza, Andrés; Zundel, Natán

doi:10.1089/lap.2019.0547

Cited by 7 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 21 full-text articles 7,8,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] were identified for detailed investigation. Of these, 15 studies 7,8,[19][20][21][22][23][24][25][26][27][28][29][30][31] were excluded: 11 studies lack control group, [19][20][21][22][23][24][25][26][27][28][29] 1 study compared LCBDE with an open approach, 8 1 article focused on safety and feasibility of primary closure following LCBDE for the patients with previous failed ERCP, 30 1 study of fewer than 10 patients, …”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…2 However, in some patients, ERCP cannulated into CBD or removal of CBD stones may fail. 23,27,29 When ERCP fails, several available options remain re-endoscopic treatment, laparoendoscopic rendezvous procedure, percutaneous treatment, and CBD exploration. Studies have reported that some patients who failed to remove the CBD stones at the initial ERCP and without any adverse events can be successfully and safely managed with repeated attempts if performed by an experienced hand, 5,6 but repeated endoscopic treatment will increase the cost and complications.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review and Meta-analysis of Laparoscopic Common Bile Duct Exploration in Patients With Previous Failed Endoscopic Retrograde Cholangiopancreatography

Zhu¹,

Yang²,

Du³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Background: The aim was to compare the outcomes of laparoscopic common bile duct exploration (LCBDE) after failed endoscopic retrograde cholangiopancreatography (group A) versus primary LCBDE (group B) for the management of gallbladder and common bile duct stones. Materials and Methods:A comprehensive and systematic literature search was performed in several databases, including PubMed, Ovid, and Cochrane Library. Meta-analysis of operative outcomes, postoperative outcomes, and gallstone clearance rates was conducted using random-effect models.Results: Six studies including 642 patients (239 in group A and 403 in group B) were included. The operative time was longer in group A (P = 0.02). The overall complication, bile leakage, conversion, postoperative hospital stay, and reoperation were comparable in group A and group B. Similarly, no significant difference was present concerning the incidence of stone clearance, residual stone, and recurrent stone (P > 0.05). Conclusion:LCBDE is an alternative acceptable procedure when removal of common bile duct stones by endoscopic therapy fails.

show abstract

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Systematic Review and Meta-analysis of Laparoscopic Common Bile Duct Exploration in Patients With Previous Failed Endoscopic Retrograde Cholangiopancreatography

Zhu¹,

Yang²,

Du³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

“…In contrast, ERCP provides information on the distribution, number, and morphology of stones even in a narrow bile duct. ERCP is simpler to perform, does not require a T-tube, and hence preserves the integrity and normal physiological function of the bile duct, which is more desirable and safe[ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical observation of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography or common bile duct lithotripsy

Niu¹,

Liu²,

Tian³

2022

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND The incidence of common bile duct (CBD) stones accounts for approximately 10%–15% of all CBD diseases. Approximately 8%–20% of these patients also have gallstones with heterogenous signs and symptoms. AIM To investigate the clinical effects of laparoscopic cholecystectomy (LC) combined with endoscopic retrograde cholangiopancreatography (ERCP) and LC with CBD excision and stone extraction in one-stage suture (LBEPS) for the treatment of gallbladder and CBD stones. METHODS Ninety-four patients with gallbladder and CBD stones were selected from our hospital from January 2018 to June 2021. They were randomly divided into study and control groups with 47 patients each. The study group underwent LC with ERCP, and the control group underwent LC with LBEPS. Surgery, recovery time of gastrointestinal function, complication rates, liver function indexes, and stress response indexes were measured pre- and postoperatively in both the groups. RESULTS The durations of treatment and hospital stay were shorter in the study group than in the control group. There was no significant difference between the one-time stone removal rate between the study and control groups. The time to anal evacuation, resumption of oral feeding, time to bowel sound recovery, and time to defecation were shorter in the study group than in the control group. The preoperative serum direct bilirubin (DBIL), total bilirubin (TBIL), and alanine aminotransferase (ALT) levels were insignificantly higher in the study group than that in the control group. A day after surgery, the postoperative serum DBIL, TBIL, and ALT levels were lower than their preoperative levels in both groups, and of the two groups, the levels were lower in the study group. Although the preoperative serum adrenocorticotrophic (ACTH), cortisol (COR), epinephrine (A), and norepinephrine (NE) levels were higher in the study group than that in the control group, these differences were not significant ( P > 0.05). The serum ACTH, COR, A, and NE levels in both groups decreased one day after surgery compared to the preoperative levels, but the inter-group difference was statistically insignificant. Similarly, (91.79 ± 10.44) ng/mL, A, and NE levels were lower in the study group than in the control group. The incidence of complications was lower in the study group than in the control group. CONCLUSION LC combined with ERCP induces only a mild stress response; this procedure can decrease the risk of complications, improve liver function, and achieve and promote a faster recovery of gastrointestinal functions.

show abstract

“…Although LCBDE is considered a safe and effective procedure for patients with ERCP failure, it is also an effective treatment for CBD stone suspected at cholecystectomy. However, CBD stone may still recur even after LCBDE [1,[16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Risk factors of recurrence following common bile duct exploration for choledocholithiasis

Choi

Min

Kook

et al. 2021

J Minim Invasive Surg

View full text Add to dashboard Cite

Purpose: The purpose of this study was to investigate the recurrence factors of choledocholithiasis after common bile duct (CBD) exploration.Methods: From January 2000 to December 2018, we retrospectively reviewed 253 patients who underwent CBD exploration surgery. We excluded 100 cases who had residual stone, combined major surgery, or follow-up loss after surgery. Total of 153 patients were included, and we investigated the recurrence factors of choledocholithiasis. Various variables such as patients' demographics, gallstones, preoperative endoscopic treatment, and laboratory data were analyzed to find factors related to recurrent choledocholithiasis. Results:The median follow-up period was 20.6 months (range 4.7-219 months), and 27 patients (17.6%) had experienced recurrent choledocholithiasis. Univariate analysis showed that the following variables were associated with recurrence of choledocholithiasis; preoperative leukocytosis (white blood cell ≥ 11,000/µL), open procedure, T tube insertion, long hospital duration, and long operation time. Logistic regression multivariate analysis identified preoperative leukocytosis (odds ratio [OR], 3.43; 95% confidence interval [CI], 1.21-9.73; p = 0.021), open procedure (OR, 5.54; 95% CI, 4.73-6.35; p = 0.037), and T-tube insertion (OR, 2.82; 95% CI, 1.04-7.65; p = 0.042) as independent predictors of recurrent choledocholithiasis. Conclusion:Because of delayed recurrence of choledocholithiasis, it is recommended to continue follow-up of patients after CBD exploration surgery. Laparoscopic surgery was observed to be associated with a reduction in recurrence. The preoperative leukocytosis and clinical conditions in which open surgery is performed could be associated with recurrence of choledocholithiasis. However, further study is necessary to validate the result.

show abstract

Laparoscopic Common Bile Duct Exploration With Primary Closure After Failed Endoscopic Retrograde Cholangiopancreatography Without Intraoperative Cholangiography: A Case Series from a Referral Center in Bogota, Colombia

Cited by 7 publications

References 23 publications

Systematic Review and Meta-analysis of Laparoscopic Common Bile Duct Exploration in Patients With Previous Failed Endoscopic Retrograde Cholangiopancreatography

Systematic Review and Meta-analysis of Laparoscopic Common Bile Duct Exploration in Patients With Previous Failed Endoscopic Retrograde Cholangiopancreatography

Clinical observation of laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography or common bile duct lithotripsy

Risk factors of recurrence following common bile duct exploration for choledocholithiasis

Contact Info

Product

Resources

About