Outcomes of emergency common bile duct exploration: impact of preoperative endoscopic decompression

Abstract

Among patients requiring emergency CBDE, uncomplicated preoperative endoscopic biliary decompression benefits patients with acute cholangitis.

Identification of risk factors for intraoperative hemobilia and its correlation with early postoperative complications in patients with hepatolithiasis

“…It has been speculated that acute cholangitis can lead to high morbidity from postoperative complications, as well as mortality. [13][14][15] Thus, we inferred a relationship between hepatolithiasis surgery and pathogenesis through the following route: preoperative attack of acute cholangitis/intraoperative hemobilia/postoperative complications. In addition to ISAC, we found that the preoperative severity of acute latest cholangitis was associated with intraoperative hemobilia.…”

Inpatient magnetic resonance cholangiopancreatography: does it increase the efficiency in emergency hepatopancreaticobiliary surgery services?

“…Performing a laparoscopic cholecystectomy with intraoperative cholangiogram which can be potentially converted to a CBD exploration in the background of underlying sepsis would be considered high risk in this subgroup of patients. 20 With respect to gallstone-related indications where inpatient MRCP confirmed choledocholithiasis, almost half of these patients proceeded to an inpatient ERCP. Indications for discharge prior to therapeutic intervention may be related to clinical or biochemical improvement and the availability of inpatient ERCP.…”