Management of common bile-duct stones and associated gallbladder stones: surgical aspects

Boerma, Djamila; Schwartz, Matthijs P.

doi:10.1016/j.bpg.2006.04.002

Cited by 34 publications

(27 citation statements)

References 67 publications

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“…In terms of solutions for bile stone retrieval, the present comparative analysis revealed that LCH-TD and LC-EST have less gastrointestinal tract interruption and postoperative pain, shorter recovery time to bowel movement and flatus, and shorter duration of hospitalization compared to open cholecystectomy. This is consistent with other studies [7,9], which concluded that the subjective feeling, physical function, postoperative symptoms, and quality of life are all superior in patients who have undergone microsurgery as compared to laparotomy. Minimally invasive one-stage treatment of CBDS include the following procedures: (1) Stone retrieval by EST pre, intra, or postoperative of laparoscopic cholecystectomy; and (2) Trans-choledeocal stone retrieval, by way of a laparoscopic cholecystectomy with T-tube closure; (3) Trans-cystic approach laparoscopic CBD stone retrieval; and (4) Trans-choledeocal stone retrieval, by way of a laparoscopic cholecystectomy with primary closure.…”

Section: Discussionsupporting

confidence: 93%

Comparative Evaluation of Two Laparoscopic Procedures for Treating Common Bile Duct Stones

Ai-dong

Guo

et al. 2010

Cell Biochem Biophys

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Cholesystolithiasis is often associated with common bile duct stones (CBDS). In order to assess the choice of surgery in terms of effectiveness and complications in the treatment of CBDS, we have compared three surgical procedures, viz., laparoscopic choledocholithotomy T-tube drainage (LCH-TD), laparoscopic cholecystectomy with endoscopic sphincterotomy (LC-EST), and the traditional open choledocholithotomy with T-tube drainage (OCHTD). This study is a retrospective comparative analysis of LCH-TD (77 patients), LC-EST (43 patients), and OCHTD (60 patients) for CBDS. The success of the surgical procedures was assessed in terms of recovery duration, hospitalization, and post-operative complications. Both the micro-invasive procedures, LCH-TD and LC-EST, with a success rate of 92.5%, are found to be superior to the traditional OCHTD. Between the two micro-invasive procedures, patients in LCH-TD group had shorter operation time and hospital stay, and fewer post-operative complications. Although the size of the stones is comparable between these two groups, the CBD diameter was significantly larger in patients who underwent LCH-TD. In comparison to OCHTD, both LCH-TD and LC-EST are micro-invasive, safe, and suitable for routine use in patients with CBDS. Moreover, when the CBD diameter is wider than 1 cm, LCH-TD is strongly advocated.

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Section: Discussionsupporting

confidence: 93%

Comparative Evaluation of Two Laparoscopic Procedures for Treating Common Bile Duct Stones

Ai-dong

Guo

et al. 2010

Cell Biochem Biophys

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“…Many authors have advocated primary closure of the CBD following stone removal [3,4,[9][10][11][12]. Primary closure without a T-tube is safe and associated with a lower complication rate [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Open common bile duct exploration without T-tube insertion- two decade experience from a limited resource setting in the Caribbean

et al. 2010

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“…Patients with symptomatic gallstone disease who undergo endoscopic retrograde cholangiopancreaticography (ERCP) with sphincterotomy commonly undergo further treatment with laparoscopic cholecystectomy (LC) [1][2][3][4][5]. Intraoperative and postoperative complications [6] and conversion to open surgery [3,6] have been reported to be more frequent in patients who undergo ERCP prior to LC.…”

Section: Introductionmentioning

confidence: 99%

Timing of elective laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreaticography with sphincterotomy: a prospective observational study of 308 patients

Bostancı¹,

Ercan²,

Özer³

et al. 2010

Langenbecks Arch Surg

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The length of time between endoscopic sphincterotomy and LC did not affect the latter procedure in terms of complications or conversion to open surgery. However, the lack of an association between conversion rate and gallstone presence on ERCP and the higher conversion rate among patients who underwent multiple ERCPs, suggest that ERCP with sphincterotomy itself may be a factor in the higher conversion rates that have been observed after this procedure.

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Management of common bile-duct stones and associated gallbladder stones: surgical aspects

Cited by 34 publications

References 67 publications

Comparative Evaluation of Two Laparoscopic Procedures for Treating Common Bile Duct Stones

Comparative Evaluation of Two Laparoscopic Procedures for Treating Common Bile Duct Stones

Open common bile duct exploration without T-tube insertion- two decade experience from a limited resource setting in the Caribbean

Timing of elective laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreaticography with sphincterotomy: a prospective observational study of 308 patients

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