Laparoscopic common bile duct exploration

Chan, David; Jain, P. A.; Khalifa, Aiden; Hughes, R.; Baker, A L

doi:10.1002/bjs.9604

Cited by 38 publications

(30 citation statements)

References 18 publications

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“…Chan et al reported favorable outcomes for a small group of patients with cholangitis managed with a single-stage approach, including immediate LC plus LCBDE [ 128 ]. However, we believe that a larger experience is necessary prior to recommend a change in practice, and biliary decompression via ERCP or PTC remains the safest option for patients with cholangitis.…”

Section: Clinical Decision Making and Treatmentmentioning

confidence: 85%

Acute Cholecystitis

2015

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Section: Clinical Decision Making and Treatmentmentioning

confidence: 85%

Acute Cholecystitis

2015

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“…Similar study carried out by Hong DF et al, denoted success rate of 80% [18] . In other studies success rate of 80% to 95% were reported [20][21][22] . Our study showed similar success rates for the single-stage and two-stage procedures (80 vs. 76%), but the single-stage procedure was better in terms of a less number of procedures and higher patient satisfaction compared with two-stage management.…”

Section: Group B P-valuementioning

confidence: 99%

Comparative Study between Laparoscopic Common Bile Duct Exploration and Endoscopic Retrograde Cholangiopancreatography Plus Laparoscopic Cholecystectomy for Choledocholithiasis

Rady¹,

Esmat

2019

The Medical Journal of Cairo University

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Background: Overall, 5% to 15% of patients undergoing cholecystectomy for cholelithiasis have concomitant bile duct stones, and the incidence of choledocholithiasis increases with age. Endoscopic Retrograde Cholangiopancreatography (ERCP) with consequent Laparoscopic Cholecystectomy (LC) has been the favored approach for the treatment of choledocholithiasis for quite a long time; however in the course of recent years, Laparoscopic Common Bile Duct Exploration (LCBDE) has been offered to patients with suspected choledocholithiasis. Aim of Study: The aim of this work is to compare the efficacy, safety, and the surgical outcomes of LCBDE with ERCP followed by laparoscopic cholecystectomy and determine the most appropriate approach for patients with choledocholithiasis. Patients and Methods: A prospective randomized clinical study was carried out from March 2017 to September 2018. It included 50 patients with cholecysto-choledocholithiasis who were divided into two groups: Group A (25 patients) included patients who underwent laparoscopic transcystic common bile duct exploration and stone extraction with LC in one stage, and Group B (25 patients) included patients who underwent endoscopic retrograde cholangiopancreatography for CBD stone extraction followed by LC in two stages. The Common Bile Duct (CBD) stone clearance rate, post-operative bile leakage, post-operative morbidity, mortality, overall hospital stay, and patient satisfaction were analyzed. Results: LCBDE and ERCP+LC were similar in terms of clearance rate, operative time postoperative complications, retained CBD stones, and postoperative length of stay, but there was a significant difference in number of procedures and patient satisfaction. Conclusion: Although both approaches have equivalent success rates, LCBDE is better in terms of fewer procedures, and better satisfaction compared with ERCP + LC. Our study suggests that one-stage management is the treatment of choice for patients with cholecystocholedocholithiasis.

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“…Some studies (36,(38)(39)(40) comparing early LCBDE with delayed LCBDE (> 72 h from the onset) were performed ( Table 1). The result showed that the complication rate between the early and delayed LCBDE didn't have statistical significance (p > 0.05 in the four studies respectively).…”

Section: Endoscopic and Surgical Treatmentmentioning

confidence: 99%

“…We can deem from the 4 studies that early LCBDE was suitable for mild and moderate acute cholangitis, but not for severe acute cholangitis because of the high mortality rate. However, there were still a few experts trying to perform emergency LCBDE for severe acute cholangitis (38,39). Some even performed primary closure of the common bile duct in emergency LCBDE (39).…”

Section: Endoscopic and Surgical Treatmentmentioning

confidence: 99%