Percutaneous Management of Biliary Stones

Özcan, Nevzat; Riaz, Ahsun; Kahriman, Güven

doi:10.1055/s-0041-1731373

Cited by 6 publications

(2 citation statements)

References 49 publications

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“…Bile duct stones are common in hepatobiliary surgery. Thus, complex intrahepatic and extrahepatic bile duct stones become possibly complicated by liver abscesses, cholangitis, and other diseases [39]. The success rate of bile duct stone extraction has improved after applying laparoscopic techniques in biliary surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy and Safety of Laparoscopic Holmium laser Lithotripsy and Laparoscopic Bile Duct Exploration for Bile Duct Stones: A Systematic Review and Meta‐Analysis

Liu

et al. 2023

World j. surg.

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Background Laparoscopic holmium laser lithotripsy (LHLL) has been used to treat bile duct stones with unclear outcomes. A meta-analysis was conducted to investigate the LHLL and laparoscopic bile duct exploration (LBDE) efficacy and safety in treating bile duct stones. Methods The correlational studies were searched databases, such as PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, and VIP, to identify eligible studies from inception to July 2022. The dichotomous and continuous outcomes were evaluated using odds ratio (OR), risk difference (RD) and weighted mean difference (WMD) with 95% confidence intervals (CIs). Stata 15.0 and Review Manager 5.3 software helped in data analyses. Results A total of 23 studies with 1,890 patients, primarily from China, were included. The results indicated that operation time (WMD = -26.94; 95% CI:(-34.30, -19.58); P \ 0.00001), estimated blood loss (WMD = -17.97; 95% CI: (-22.94, -13.00); P = 0.002), rate of residual stone (OR = 0.15, 95%CI: (0.10, 0.23); P \ 0.00001), length of hospital stay (WMD = -2.88; 95% CI:(-3.80, -1.96); P \ 0.00001) and time to bowel function recovery (WMD = -0.59; 95% CI: (-0.76, -0.41); P \ 0.00001) had statistically significant differences between the two groups.

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Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy and Safety of Laparoscopic Holmium laser Lithotripsy and Laparoscopic Bile Duct Exploration for Bile Duct Stones: A Systematic Review and Meta‐Analysis

Liu

et al. 2023

World j. surg.

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“…In selected cases of cholelithiasis and choledocholithiasis, endoscopic ultrasound-guided gallbladder drainage combined with ERCP-ES is a reasonable modern approach that can manage the disease by endoscopic means[ 62 ]. When ERCP-ES is not possible for various reasons, a reliable alternative is the percutaneous management of CBD stones that is feasible and safe[ 3 ]. Reinterventions in stone recurrence, mainly ERCP or surgical (laparoscopic or open), may be needed[ 63 ].…”

Section: Managementmentioning

confidence: 99%

Current management of concomitant cholelithiasis and common bile duct stones

Pavlidis¹,

Pavlidis²

2023

World J Gastrointest Surg

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The management policy of concomitant cholelithiasis and choledocholithiasis is based on a one- or two-stage procedure. It basically includes either laparoscopic cholecystectomy (LC) with laparoscopic common bile duct (CBD) exploration (LCBDE) in the same operation or LC with preoperative, postoperative and even intraoperative endoscopic retrograde cholangiopancreatography-endoscopic sphincterotomy (ERCP-ES) for stone clearance. The most frequently used worldwide option is preoperative ERCP-ES and stone removal followed by LC, preferably on the next day. In cases where preoperative ERCP-ES is not feasible, the proposed alternative of intraoperative rendezvous ERCP-ES simultaneously with LC has been advocated. The intraoperative extraction of CBD stones is superior to postoperative rendezvous ERCP-ES. However, there is no consensus on the superiority of laparoendoscopic rendezvous. This is equivalent to a traditional two-stage procedure. Endoscopic papillary large balloon dilation reduces recurrence. LCBDE and intraoperative ERCP have similar good outcomes. The risk of recurrence after ERCP-ES is greater than that after LCBDE. Laparoscopic ultrasonography may delineate the anatomy and detect CBD stones. The majority of surgeons prefer the transcductal instead of the transcystic approach for CBDE with or without T-tube drainage, but the transcystic approach must be used where possible. LCBDE is a safe and effective choice when performed by an experienced surgeon. However, the requirement of specific equipment and advanced training are drawbacks. The percutaneous approach is an alternative when ERCP fails. Surgical or endoscopic reintervention for retained stones may be needed. For asymptomatic CBD stones, ERCP clearance is the first-choice method. Both one-stage and two-stage management are acceptable and can ensure improved quality of life.

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Primary suture for patients of bile duct stones after laparoscopic biliary tract exploration: a retrospective cohort study

Zhang

Sun

et al. 2023

Updates Surg

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Percutaneous Management of Biliary Stones

Cited by 6 publications

References 49 publications

Comparison of Efficacy and Safety of Laparoscopic Holmium laser Lithotripsy and Laparoscopic Bile Duct Exploration for Bile Duct Stones: A Systematic Review and Meta‐Analysis

Comparison of Efficacy and Safety of Laparoscopic Holmium laser Lithotripsy and Laparoscopic Bile Duct Exploration for Bile Duct Stones: A Systematic Review and Meta‐Analysis

Current management of concomitant cholelithiasis and common bile duct stones

Primary suture for patients of bile duct stones after laparoscopic biliary tract exploration: a retrospective cohort study

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