scholarly journals Early versus delayed laparoscopic common bile duct exploration for common bile duct stone-related nonsevere acute cholangitis

2015 ◽  
Vol 5 (1) ◽  
Author(s):  
Bin Zhu ◽  
Dan Li ◽  
Yu Ren ◽  
Ying Li ◽  
Yan Wang ◽  
...  
2017 ◽  
Vol 5 (7) ◽  
pp. 280 ◽  
Author(s):  
Akira Yamamiya ◽  
Katsuya Kitamura ◽  
Yu Ishii ◽  
Yuta Mitsui ◽  
Tomohiro Nomoto ◽  
...  

2013 ◽  
Vol 77 (5) ◽  
pp. AB316-AB317
Author(s):  
Ryuichi Yamamoto ◽  
Shuko Ishida ◽  
Yasuyo Osafune ◽  
Masatomo Takahashi ◽  
Maiko Harada ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
K. B. Deo ◽  
S. Adhikary ◽  
S. Khaniya ◽  
V. C. Shakya ◽  
C. S. Agrawal

Background. Laparoscopic common bile duct exploration has all the advantages of minimal access and is also the most cost effective compared to the other options. Objective. To study a profile on laparoscopic common bile duct exploration for a single common duct stone. Methods. A total of 30 consecutive patients with solitary common bile duct stone attending our hospital over a period of one year were enrolled in the study. Laparoscopic common bile duct exploration was done by transductal route in all the patients. Results. There were 18 females and 12 males with age ranging from 28 to 75 years. Jaundice was present in 12 (40%) patients. Twenty-four (80%) patients had raised alkaline phosphatase. The mean size of CBD on ultrasound was 11.55 mm. The mean size of calculus was 11.06 mm and was located in the distal CBD in 26 (86.7%) patients. The mean operative time was 158.4 ± 57.89 min. There were 8 (26.6%) conversions to open procedure. T-tube was used in 26 (86.7%) patients. The postoperative complications were hospital acquired chest infection in 3 (10%), surgical site infection in 3 (10%), acute coronary syndrome in one (3.3%), and bile leak after T-tube removal in one (3.3%) patient. Conclusions. Laparoscopic common bile duct exploration is an effective, safe management of common bile duct stone.


Open Medicine ◽  
2012 ◽  
Vol 7 (1) ◽  
pp. 59-62
Author(s):  
Hyung Han ◽  
Jin Lee ◽  
Tae Song

AbstractBile duct stones, which obstruct the common bile duct, potentially result in complications, such as acute cholangitis and pancreatitis. We present a case involving a patient with normal liver function tests from whom we removed a giant common bile duct stone measuring 7.5 centimeters × 4.0 centimeters × 4.0 centimeters. Postoperatively recurrent common bile duct stones were observed and removed with an endoscopic maneuver in the three-year follow-up period. Recurrent bile duct stones are frequently reported in the case of large size of stones or multiple stones. Surgical treatment may then be considered as a first-line treatment in cases of recurrent common bile duct stones. When an endoscopic or surgical approach is used for the treatment of giant common bile duct stones, careful observation is of the utmost importance and treatment innovations may be necessary.


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