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Journal of Gastrointestinal Surgery

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01-04-2008 | ssat other

Treatment of Common Bile Duct Stones Discovered during Cholecystectomy

Authors: Edward H. Phillips, James Toouli, Henry A. Pitt, Nathaniel J. Soper

Published in: Journal of Gastrointestinal Surgery | Issue 4/2008

Abstract

Background

Several techniques of laparoscopic bile duct exploration and intraoperative endoscopic sphincterotomy (ES) have been developed to treat patients with common bile duct (CBD) stones in one session and avoid the complications of ES. With all these options available, very few randomized controlled trials (RCTs) have been undertaken. This review analyzes those studies.

Methods

We searched PubMed. Four RCTs and a Cochran Database Systematic Review were found.

Results

Two RCTs compared preoperative ES and laparoscopic CBD exploration (E) for known CBD stones. Laparoscopic CBDE had shorter length of hospitalization. Two RCTs compared immediate and delayed treatment and found that length of stay was less with laparoscopic CBDE, but clearance rates and morbidity/mortality were similar.

Conclusions

Studies suggest that CBD stones discovered at the time of cholecystectomy are best treated during the same operation. The transcystic approach is safest if applicable. Individual surgeons must be aware of their own capabilities and those of the available endoscopists and perform the safest technique.

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Title: Treatment of Common Bile Duct Stones Discovered during Cholecystectomy
Authors: Edward H. Phillips
James Toouli
Henry A. Pitt
Nathaniel J. Soper
Publication date: 01-04-2008
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 4/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-007-0452-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of Common Bile Duct Stones Discovered during Cholecystectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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