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Surgical Endoscopy

Published in:

01-01-2007

Thirteen years’ experience with laparoscopic transcystic common bile duct exploration for stones

Effectiveness and long-term results

Authors: A. M. Paganini, M. Guerrieri, J. Sarnari, A. De Sanctis, G. D’Ambrosio, G. Lezoche, S. Perretta, E. Lezoche

Published in: Surgical Endoscopy | Issue 1/2007

Abstract

Background

The aim of the present study was to evaluate the effectiveness and long-term results of laparoscopic transcystic common bile duct exploration (TC-CBDE).

Methods

Ductal stones were present in 344 of 3212 patients (10.7%) who underwent laparoscopic cholecystectomy (LC). The procedure was completed laparoscopically in 329 patients (95.6%), with TC-CBDE performed in 191 patients (58.1%) who are the object of this study, or with a transverse choledochotomy in 138 cases (41.9%).

Results

Biliary drainage was employed in 71 of 191 cases (37.2%). Major complications occurred in 10 patients (5.1%), including retained stones in 6 (3.1%). Mortality was nil. No patients were lost to follow-up (median: 118.0 months; range: 17.6–168 months). No signs of bile stasis, no recurrent ductal stones and no biliary stricture were observed. At present 182 patients are alive with no biliary symptoms; 9 have died from unrelated causes.

Conclusions

Long-term follow-up after laparoscopic TC-CBDE proved its effectiveness and safety for single-stage management of gallstones and common bile duct stones.

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Title: Thirteen years’ experience with laparoscopic transcystic common bile duct exploration for stones
Effectiveness and long-term results
Authors: A. M. Paganini
M. Guerrieri
J. Sarnari
A. De Sanctis
G. D’Ambrosio
G. Lezoche
S. Perretta
E. Lezoche
Publication date: 01-01-2007
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-005-0286-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Thirteen years’ experience with laparoscopic transcystic common bile duct exploration for stones

Effectiveness and long-term results

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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