Laparoscopic surgery for choledocholithiasis concomitant with calculus of the left intrahepatic duct or abdominal adhesions

Wang, Yueqi; Bo, Xiaobo; Wang, Yaojie; Li, Min; Shen, Sheng; Suo, Tao; Pan, Hongtao; Liu, Han; Liu, Houbao

doi:10.1007/s00464-017-5555-4

Cited by 9 publications

(8 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general surgeries, abdominal adhesions form surgery procedures may affect the surgical outcomes. [ 5 ] It is difficult and dangerous for patients with postoperative adhesions to gain a safe access to the peritoneal cavity by using a Veress blindly. [ 6 ] Also, it may be impossible to place trocars in the appropriate locations.…”

Section: Introductionmentioning

confidence: 99%

Robotic surgeries for patients with colorectal cancer who have undergone abdominal procedures

Miao²,

Wang³

et al. 2018

Medicine

View full text Add to dashboard Cite

Background:Although the safety and the advantages of laparoscopic and robotic colorectal surgeries have been confirmed, the use of both modalities in patients with previous abdominal surgeries (PAS) history remains uncertain. Herein, we perform a meta-analysis to investigate the impact of PAS on perioperative recovery outcomes from laparoscopic and robotic colorectal surgeries.Methods:We will search PUBMED, the Cochrane Library, the Chinese Biomedical database (CBM), WanFang data, China National Knowledge Infrastructure (CNKI) up to January 2018. Studies will be screened by title, abstract, and full text independently and in duplicate. Studies that report the impact of PAS on perioperative recovery outcomes from laparoscopic and robotic colorectal surgeries will be eligible for inclusion. Outcome variables will be assessed included combined resection, conversion, operation time, blood loss, number of retrieved lymph nodes, days to soft diet intake, length of hospital stay, and postoperative complications. Assessment of risk of bias and data synthesis will be performed using STATA SE 12.0. Heterogeneity among studies will be assessed using the I2 statistic.Results:Randomized controlled trials, prospective cohort studies, and propensity-matched comparative studies will be used for the quantitative synthesis of the meta-analysis to evaluate the impact of PAS on perioperative recovery outcomes from laparoscopic and robotic colorectal surgeries.Conclusions:We aim to draw an objective conclusion of the comparisons in aspects of perioperative outcomes and provide physicians level I evidences for clinical decision makings.

show abstract

Section: Introductionmentioning

confidence: 99%

Robotic surgeries for patients with colorectal cancer who have undergone abdominal procedures

Miao²,

Wang³

et al. 2018

Medicine

View full text Add to dashboard Cite

show abstract

“…Nevertheless, with the development of laparoscopic techniques and technological advances in equipment, a growing number of reports have suggested that laparoscopic procedures can also be performed as a standard treatment in patients with a history of abdominal operations [10,11]. However, there are very few reports about laparoscopic procedures in patients with a history of abdominal biliary tract surgery.…”

mentioning

confidence: 99%

Laparoscopic common bile duct exploration in patients with previous abdominal biliary tract operations

Ying

Shen

et al. 2020

Surg Endosc

Self Cite

View full text Add to dashboard Cite

Background A history of abdominal biliary tract surgery has been identified as a relative contraindication for laparoscopic common bile duct exploration (LCBDE), and there are very few reports about laparoscopic procedures in patients with a history of abdominal biliary tract surgery. Methods We retrospectively reviewed the clinical outcomes of 227 consecutive patients with previous abdominal biliary tract operations at our institution between December 2013 and June 2019. A total of 110 consecutive patients underwent LCBDE, and 117 consecutive patients underwent open common bile duct exploration (OCBDE). Patient demographics and perioperative variables were compared between the two groups. Results The LCBDE group performed significantly better than the OCBDE group with respect to estimated blood loss [30 (5-700) vs. 50 (10-1800) ml; p = 0.041], remnant common bile duct (CBD) stones (17 vs. 28%; p = 0.050), postoperative hospital stay [7 (3-78) vs. 8.5 (4.5-74) days; p = 0.041], and time to oral intake [2.5 (1-7) vs. 3 (2-24) days; p = 0.015]. There were no significant differences in the operation time [170 (60-480) vs. 180 (41-330) minutes; p = 0.067]. A total of 19 patients (17%) in the LCBDE group were converted to open surgery. According to Clavien's classification of complications, the LCBDE group had significantly fewer postoperative complications than the OCBDE group (40 vs. 57; p = 0.045). There was no mortality in either group. Multiple previous operations (≥ 2 times), a history of open surgery, and previous biliary tract surgery (including bile duct or gallbladder + bile duct other than cholecystectomy alone) were risk factors for postoperative adhesion (p = 0.000, p = 0.000, and p = 0.000, respectively). Conclusion LCBDE is ultimately the least invasive, safest, and the most effective treatment option for patients with previous abdominal biliary tract operations and is especially suitable for those with a history of cholecystectomy, few previous operations (< 2 times), or a history of laparoscopic surgery.

show abstract

“…2 Treatment methods for intrahepatic stones include peroral cholangioscopy (POCS), percutaneous transhepatic cholangioscopic lithotomy (PTCS-L), biliary duct exploration and lithotomy, and hepatectomy. [2][3][4][5] POCS and PTCS-L are only suitable for a part of patients with no liver atrophy, and with no or only mild biliary strictures. For patients with moderate to severe biliary stricture, the failure rate of POCS or PTCS-L treatment is high, and the rate of residual stones and recurrent stones is also high.…”

mentioning

confidence: 99%

Application of Laparoscopic Technique in the Treatment of Hepatolithiasis

Yao¹,

Wu²

2020

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

Hepatolithiasis is commonly encountered in Southeastern and East Asian countries, and its incidence is increasing in Western countries. For symptomatic hepatolithiasis or asymptomatic hepatolithiasis with signs of liver atrophy or malignancy, surgical intervention is needed, especially when peroral cholangioscopy and percutaneous transhepatic cholangioscopic lithotomy are not suitable or fail to be performed. Currently, laparoscopic surgery is gradually replacing traditional open surgery and becoming a better option. Various types of laparoscopic surgeries, including laparoscopic hepatectomy, laparoscopic biliary exploration through the common bile duct or the hepatic duct stump, and robotic-assisted laparoscopic surgery, have been developed for the treatment of simple hepatolithiasis, hepatolithiasis concomitant with choledocholithiasis, recurrent hepatolithiasis, and complicated hepatolithiasis. The related clinical experience is gradually accumulating. In this review, the laparoscopic applications and their advantages will be summarized. In most cases, the laparoscopic technique could provide the advantages of less trauma, reduced blood loss, and faster postoperative recovery.

show abstract

Laparoscopic surgery for choledocholithiasis concomitant with calculus of the left intrahepatic duct or abdominal adhesions

Abstract: LCBDH can obviously improve recovery and shorten the hospitalization period. Further, LCBDE is safe and feasible for patients of choledocholithiasis with mild and moderate abdominal adhesions.

Cited by 9 publications

References 29 publications

Robotic surgeries for patients with colorectal cancer who have undergone abdominal procedures

Robotic surgeries for patients with colorectal cancer who have undergone abdominal procedures

Laparoscopic common bile duct exploration in patients with previous abdominal biliary tract operations

Application of Laparoscopic Technique in the Treatment of Hepatolithiasis

Contact Info

Product

Resources

About