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Long-term results from laparoscopic common bile duct exploration

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Abstract

Background: The aim of this study was to evaluate the long-term results after laparoscopic common bile duct exploration (LCBDE). Methods: A retrospective review of 175 consecutive patients who underwent attempted LCBDE between 1992 and 1999 was conducted. Laparoscopic transcystic exploration was accomplished in 110 patients and laparoscopic choledochotomy in 52 patients. Conversion to an open common bile duct exploration was required for 13 patients (7.4%). Retained common bile duct stones occurred in eight patients (4.6%). The 30-day postoperative morbidity was 6.9%, and there was no 30-day mortality. All the patients (alive and localized) received a questionnaire evaluating long-term results. Results: Of the 175 patients, 169 (4 unrelated deaths and 2 patients lost to follow-up evaluation) received and 152 (90%) returned the questionnaire. The follow-up period ranged from 6 to 72 months (median, 36 months). One patient developed recurrent common bile duct stones. There were no signs or evidence of common bile duct stricture in any patient. Conclusion: The LCBDE procedure can be performed without increased risk of late bile duct complications.

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References

  1. D Arvidsson U Berggren U Haglund (1998) ArticleTitleLaparoscopic common bile duct exploration. Eur J Surg 165 369–375 Occurrence Handle10.1080/110241598750004409

    Article  Google Scholar 

  2. PB Cotton G Lehman J Vennes JE Geenen RCG Russell WC Meyers C Liguory N Nickl (1991) ArticleTitleEndoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc 37 383–393 Occurrence Handle1:STN:280:By6A3c7kt1M%3D Occurrence Handle2070995

    CAS  PubMed  Google Scholar 

  3. A Cuschieri E Lezoche M Morino E Croce A Lacy J Toouli A Faggioni VM Riberio J Jakimowicz J Visa GB Hanna (1999) ArticleTitleE.A.E.S. multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal caliculi. Surg Endosc 13 952–957 Occurrence Handle10.1007/s004649901145 Occurrence Handle10526025

    Article  PubMed  Google Scholar 

  4. JJ Escarce JA Shea W Chen Z Qian JS Schwartz (1995) ArticleTitleOutcomes of open cholecystectomy in the elderly: a longitudinal analysis of 21,000 cases in the prelaparoscopic era. Surgery 117 156–164 Occurrence Handle7846619

    PubMed  Google Scholar 

  5. ME Franklin D Pharand D Rosenthal (1994) ArticleTitleLaparoscopic common bile duct exploration. Surg Laparosc Endosc 2 119–124

    Google Scholar 

  6. ML Freeman DB Nelson S Sherman GB Haber ME Herman PJ Dorsher JP Moore MB Fennerty ME Ryan MJ Shaw JD Lande AM Pheley (1997) ArticleTitleComplications of endoscopic biliary sphincterotomy. N Engl J Med 335 961–963

    Google Scholar 

  7. D Giurgiu D Margulies B Caroll J Gabbay A Iida S Tagaki M Fallas E Phillips (1999) ArticleTitleLaparoscopic common bile duct exploration: long-term outcome. Arch Surg 134 839–844 Occurrence Handle1:STN:280:DyaK1MzntFCjtA%3D%3D Occurrence Handle10443806

    CAS  PubMed  Google Scholar 

  8. C-E Leijonmarck (2000) ArticleTitleLaparoscopic management of common bile duct stones. Eur J Surg Suppl 585 22–26

    Google Scholar 

  9. E Lezoche AM Paganini (1995) ArticleTitleSingle-stage laparoscopic treatment of gallstones and common bile duct stones in 120 unselected, consecutive patients. Surg Endosc 9 1070–1075 Occurrence Handle1:STN:280:BymC3MfgvFE%3D Occurrence Handle8553205

    CAS  PubMed  Google Scholar 

  10. MA Memon H Hassaballa MI Memon (2000) ArticleTitleLaparoscopic common bile duct exploration: the past, the present, and the future. Am J Surg 179 309–315 Occurrence Handle1:STN:280:DC%2BD3czjs1CjsQ%3D%3D Occurrence Handle10875992

    CAS  PubMed  Google Scholar 

  11. J Michel F Navarro F Montpeyrox J-S Burgel M-C Le Moine J-P Daures F Drouard J-C Berthou J-M Fabre J Domergue (2000) ArticleTitleLaparoscopy in 612 patients with common bile duct stones: a French retrospective multicentric study. Gastroenterol Clin Biol 24 404–408 Occurrence Handle1:STN:280:DC%2BD3czgsVOjtw%3D%3D Occurrence Handle10844285

    CAS  PubMed  Google Scholar 

  12. B Millat A Fingerhut A Deleuze H Briandet E Marrel C de Seguin P Soulier (1995) ArticleTitleProspective evaluation in 121 consecutive unselected patients undergoing laparoscopic treatment of choledocholithiasis. Br J Surg 82 1266–1269 Occurrence Handle1:STN:280:BymD3s%2Fktl0%3D Occurrence Handle7552015

    CAS  PubMed  Google Scholar 

  13. J Moreaux (1995) ArticleTitleTraditional surgical management of common bile duct stones: a prospective study during a 20-year experience. Am J Surg 169 220–226 Occurrence Handle10.1016/S0002-9610(99)80141-X Occurrence Handle1:STN:280:ByqC2c3jvVI%3D Occurrence Handle7840384

    Article  CAS  PubMed  Google Scholar 

  14. AM Paganini E Lezoche (1998) ArticleTitleFollow-up of 161 unselected consecutive patients treated laparoscopically for common bile duct stones. Surg Endosc 12 23–29 Occurrence Handle10.1007/s004649900586 Occurrence Handle1:STN:280:DyaK1c%2Fos1yhsw%3D%3D Occurrence Handle9419298

    Article  CAS  PubMed  Google Scholar 

  15. J Petelin (1991) ArticleTitleLaparoscopic approach to common bile duct pathology. Surg Laparosc Endosc 1 33–41 Occurrence Handle1:STN:280:ByuD1c%2FksFY%3D Occurrence Handle1669374

    CAS  PubMed  Google Scholar 

  16. M Rhodes L Nathanson N O’Rourke G Fielding (1995) ArticleTitleLaparoscopic exploration of the common bile duct: lesson learned from 129 consecutive cases. Br J Surg 82 666–668 Occurrence Handle1:STN:280:ByqA3sfmvVM%3D Occurrence Handle7613948

    CAS  PubMed  Google Scholar 

  17. M Rhodes L Sussman L Cohen MP Lewis (1998) ArticleTitleRandomized trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet 351 159–161 Occurrence Handle1:STN:280:DyaK1c7htFGhsA%3D%3D Occurrence Handle9449869

    CAS  PubMed  Google Scholar 

  18. WG Sheridan HOL Williams MH Lewis (1987) ArticleTitleMorbidity and mortality of common bile duct exploration. Br J Surg 74 1095–1099 Occurrence Handle1:STN:280:BieC3cfltFA%3D Occurrence Handle3427352

    CAS  PubMed  Google Scholar 

  19. EM Targarona RM Ayoso JM Bordas I Pros J Martinez J Teres M Trias (1996) ArticleTitleRandomized trial of endoscopic sphincterotomy with gallbladder left in situ versus open surgery for common bileduct caliculi in high-risk patients. Lancet 347 926–929 Occurrence Handle10.1016/S0140-6736(96)91413-0 Occurrence Handle1:STN:280:BymC2sfmvFQ%3D Occurrence Handle8598755

    Article  CAS  PubMed  Google Scholar 

  20. DR Urbach YS Khajanchee BA Jobe BA Standage PD Hansen LL Swanström (2001) ArticleTitleCost-effective management of common bile duct stones: a decision analysis of the use of ERCP, intraoperative cholangiography, and laparoscopic bile duct exploration. Surg Endosc 1 4–13 Occurrence Handle10.1007/s004640000322

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Karolinska Hospital, S-17176 Stockholm, Sweden

    A. Waage & D. Arvidsson

  2. Department of Surgery, St. Görans Hospital, Stockholm, Sweden

    C. Strömberg & C. -E. Leijonmarck

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  1. A. Waage
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  2. C. Strömberg
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  3. C. -E. Leijonmarck
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  4. D. Arvidsson
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Correspondence to A. Waage.

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Waage, A., Strömberg, C., Leijonmarck, CE. et al. Long-term results from laparoscopic common bile duct exploration . Surg Endosc 17, 1181–1185 (2003). https://doi.org/10.1007/s00464-002-8937-0

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