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Published in:

01-08-2008

Laparoscopic common bile duct exploration after failed endoscopic stone extraction

Authors: Constantine Karaliotas, George Sgourakis, Constantine Goumas, Nickolaos Papaioannou, Constantine Lilis, Emmanouel Leandros

Published in: Surgical Endoscopy | Issue 8/2008

Abstract

Background

Our objective was to present the technical aspects and results of laparoscopic common bile duct (CBD) exploration following failed endoscopic stone extraction.

Method

From April 1997 to December 2006, 32 patients were referred to us after unsuccessful attempts at endoscopic CBD stone extraction. Transcholedochal laparoscopic CBD exploration was used in all patients. Previous operations, several pathologic entities, and stone impaction were studied as potential predictors of failure of the laparoscopic approach.

Results

Previous operations, cholangitis, anatomic abnormalities, and stone impaction were the principal reasons for failure of endoscopic retrograde cholangiopancreatography (ERCP). Stone extraction under direct laparoscopic choledochotomy was achieved in 20 of 31 patients (64.51%). Biliary stents were inserted in 7 patients (21.8%) and T tubes were placed in 21 patients (65.6%). Five laparoscopic choledochoduodenostomies were performed. There were 11 conversions to open surgery. Morbidity was 12.5%.

Conclusions

Laparoscopic choledochotomy is an efficacious procedure in dealing with unsuccessful endoscopic CBD clearance.

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Title: Laparoscopic common bile duct exploration after failed endoscopic stone extraction
Authors: Constantine Karaliotas
George Sgourakis
Constantine Goumas
Nickolaos Papaioannou
Constantine Lilis
Emmanouel Leandros
Publication date: 01-08-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 8/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-007-9708-8

At a glance: The STEP trials

Springer Medicine

Laparoscopic common bile duct exploration after failed endoscopic stone extraction

Abstract

Background

Method

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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