Preliminary experience with laparoscopic common bile duct exploration

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Salama A.F.; Abd Ellatif M.E.; Abd Elaziz H.; Magdy A.; Rizk H.; Basheer M.; Jamal W.; Dawoud I.; El Nakeeb A.

Journal: BMC Surgery

Publisher: BioMed Central Ltd.

Publication Date: 31 March 2017

Volume / Issue: Volume 17 / Issue 1

Article No.: 32

ISSN: 14712482

DOI: 10.1186/s12893-017-0225-y

Scopus: View on Scopus

PubMed: 28359270

Document Type: Article

Access: All Open Access; Gold Open Access; Green Open Access

Authors and Affiliations

Salama A.F., Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt, Department of Surgery, Al-Jahra Hospital, Jahra, Kuwait; Abd Ellatif M.E., Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, Dakahlia, 35511, Egypt, Department of Surgery, Hafr Elbatin Central Hospital, Hafr Elbatin, Saudi Arabia; Abd Elaziz H., Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt; Magdy A., Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, Dakahlia, 35511, Egypt; Rizk H., Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt, Department of Surgery, University of Jeddah, Jeddah, Saudi Arabia; Basheer M., Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, Dakahlia, 35511, Egypt; Jamal W., Department of Surgery, Theodore Bilharz Research Institute, Cairo, Egypt, Department of Surgery, University of Jeddah, Jeddah, Saudi Arabia; Dawoud I., Department of Surgery, Mansoura University Hospital, Gihan El Sadat St., Mansoura, Dakahlia, 35511, Egypt; El Nakeeb A., Gastroenterology Surgical Center, Mansoura University, Mansoura, Egypt

Abstract

Background: Herein we present our experience with laparoscopic common bile duct exploration (LCBDE) in managing common bile duct stones. Methods: Data of 129 consecutive patients who underwent laparoscopic cholecystectomy (LC) and LCBDE done at our institutes from April 2011 through June 2016 were prospectively recorded and retrospectively reviewed. Results: Since 2011, 3012 laparoscopic cholecystectomy were performed at our institutes, intraoperative cholangiogram (IOC) was done in 295 (9.8%) patients which detected choledocholithiasis in 129 (4.3%) of them. LCBDE was successful to clear the common bile duct (CBD) in 123/129 (95.4%). Six patients underwent postoperative endoscopic retrograde cholangiopancreatography (ERCP) because of incomplete CBD clearance (4 cases), symptomatic stenosed papilla (2 cases). LCBDE was performed in 103 patients via trans-cystic approach and choledochotomy one in 26 patients. In the choledochotomy group, seven patients had primary closure of the CBD, CBD was closed over T-tube in nine patients whereas the remaining 10 patients the CBD was closed over antegrade inserted stent. The median time of hospital stay was 4 (range; 1-15) days. No patients showed retained CBD stones with mean follow up was 9 ± 3.4 months. Conclusion: LCBDE is a safe and cost effective option for CBD stones in short-term outcome and can be performed provided proper laparoscopic expertise and facilities are available. © 2017 The Author(s).

Keywords

Choledocholithiasis; Cholelithiasis; Laparoscopic; Adult; Cholangiography; Cholangiopancreatography, Endoscopic Retrograde; Cholecystectomy, Laparoscopic; Common Bile Duct; Female; Gallstones; Humans; Laparoscopy; Length of Stay; Male; Middle Aged; Retrospective Studies; endoscopic retrograde cholangiopancreatography; human; laparoscopic cholecystectomy; procedures; retrospective study

Citation Information

Scopus Citations: 20

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