Surgical versus endoscopic treatment of bile duct stones

Vernon, D. R.; Jobling, J; Toouli, James

doi:10.1002/14651858.cd003327

Cited by 7 publications

(9 citation statements)

References 12 publications

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“…The retained stone rate reported in various studies is around 8 % [1], varying from 0 to 3.5 % in patients with primary closure [12,29,30]. These rates are similar to those obtained in our group of patients who met the decision criteria included in Fig.…”

Section: %)supporting

confidence: 90%

“…A recent meta-analysis [1,5] found no differences in the mortality and morbidity rates, or the retained stone rate, between laparoscopic surgery and ERCP plus laparoscopic cholecystectomy. However, it has been generally observed that the one-stage treatment is associated with shorter hospital stays and lower costs, which makes it a more cost-effective strategy [1][2][3][4][5][6][7][8][9][10][11][12][13]22]. In our series, the mean hospital stay was 5.1 days, similar to other studies published to date [29,30].…”

Section: %)mentioning

confidence: 99%

“…This technique is not free of complications and has an overall complication rate of 5-14 % and a mortality rate of 0.3-2.3 % [1,21,31]. The success rate of stone clearance in endoscopic treatment in one attempt is 84.1-87.7 %, which rises to 96.3-97.3 % when more than one attempt is made [21,31].…”

Section: %)mentioning

confidence: 99%

“…Choledocholithiasis is the second most common complication of cholelithiasis; between 10 to 18 % of patients undergoing cholecystectomy for cholelithiasis have common bile duct (CBD) stones [1]. While laparoscopic cholecystectomy is considered the treatment of choice for symptomatic cholelithiasis, the best treatment for CBD stones has yet to be established.…”

mentioning

confidence: 99%

“…Both strategies offer the same effectiveness and similar complication rates. However, the one-stage approach implies shorter hospital stays and lower costs, making it the more cost-effective strategy [1][2][3][4][5][6][7][8][9][10][11][12][13]. The LCBDE approach minimises the morbidity of open surgery and avoids Oddi sphincter manipulation, which can be particularly important in young patients [4].…”

mentioning

confidence: 99%

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Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis

et al. 2015

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Section: %)supporting

confidence: 90%

Section: %)mentioning

confidence: 99%

Section: %)mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis

et al. 2015

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Laparoscopic transcystic common bile duct exploration as treatment for choledocholithiasis after Roux-en-Y gastric bypass

et al. 2021

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Comparative study of the treatment of mechanical jaundice in men and women: a cross-sectional study

Marzoog

Vladimirovich

2022

Preprint

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Background: Cholithiasis remains the leading cause of obstructive jaundice. A tendency to cholithiasis is suggested in women. However, the underlying risk factors and statistical conformation are lacking. Aims: Retrospectively describe and assess the causes of obstructive jaundice, as well as demonstrate the changes in laboratory parameters in response to treatment. Objectives: The study describes a sample of patients with obstructive jaundice due to various causes. Material and methods: A retrospective cohort study involved 101 patients with cholithiasis for the period 14.01.2016-13.04.2018 treated surgically and or conservatively. The study involved 60 (59.40594 %) men and 41 (40.59406 %) females aged 16 to 100 years (mean; 64.9901, Std Err: 1.53787). Of 101, 54 (53.46535 %) patients live in the city and 47 (46.53465 %) live in the village. The patients passed a full blood count and biochemical analysis for at least two times. Data were collected from the Mordovian Republic Hospital and retrospectively analyzed. The consent of the patients has been taken for scientific purposes to analyze and publish the results of the study. For statistical analysis, used T test, one way ANOVA test, and Spearman correlation test by using Statistica program. Results: By the etiology of obstructive symptoms, the frequency of gallstones is reported in 37 (36.63366%) patients, acute pancreatitis in 23 (22.77228%) patients, post-cholecystectomy syndrome (PCS) in 8 (7.92079 %) patients, Hilar cholangiocarcinoma (HC, Klatskin tumor) in 1 (0.99010 %) patient, pancreatic cancer in 12 (11.88119 %) patients, acute biliary pancreatitis in 8 (7.92079 %) patients, pancreatic pseudotumor in 4 (3.96040%) patients, acute cholecystitis in 3 (2.97030 %) patients, papillary tumor in 2 (1.98020 %) patients, and pancreatic cyst in 3 (2.97030%) patients. In male group, the mean age is 62.7805 years (min; max, 16.00000; 86.000) years, (median; Std Err, 66.0000; 2.40541). In the female group, the mean age is 66.5000 years (min; max, 24.00000; 100.000) years, (median; Std Err, 65.5000; 1.99300). Of 101 patients, 20 (19.80%) patients underwent surgical treatment and 81 (80.20%) patients did not require surgery. The mean total hospitalization days for patients who passed EPST surgery is 16.20000 days (Std Err 1.008850), CBD 21.50000 days (Std Err 1.565248), CDBD 25.00000 days, cholecystostomy 14.00000 days and hepaticocholecystoenterostomy 16.00000 days (Std Err 2.000000). In male group, the mean total hospitalization days 15.8537 (min; max, 5.00000; 30.000) days, (median; Std Err, 15.0000; 0.89071). In the female group, the mean total hospitalization days 14.0833 (min; max, 6.00000; 29.000) days, (median; Std Err, 13.5000; 0.68901). A direct association between the glucose value and the age, the correlation coefficient value -0.961980. Conclusions: Tendency to the early occurrence of obstructive jaundice symptoms in men compared to women. In treatment plans, men and females required the same total hospitalization days. The incidence rate of cholithiasis in females is higher than in males. Other findings: A straight association between age and the etiology of obstructive jaundice symptoms as well as a straight association between total hospitalization days and the type of surgery.

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Surgical versus endoscopic treatment of bile duct stones

Cited by 7 publications

References 12 publications

Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis

Eleven years of primary closure of common bile duct after choledochotomy for choledocholithiasis

Laparoscopic transcystic common bile duct exploration as treatment for choledocholithiasis after Roux-en-Y gastric bypass

Comparative study of the treatment of mechanical jaundice in men and women: a cross-sectional study

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