BACKGROUND: Failure of endoscopic sphincterotomy (ES) for retained bile duct stones occurs in 4% to 10% of cases and was traditionally managed with open bile duct reexploration. METHODS: This study uses retrospective analysis of a consecutive series of cases of laparoscopic bile duct reexploration for retained bile duct stones after unsuccessful ES. RESULTS: Thirty-one cases were operated over a 7-year period. Seventy percent had a previous open cholecystectomy. Ten cases were successfully treated with a transcystic approach and 19 with laparoscopic choledochotomy. Two patients were converted to open surgery. Morbidity was 3.22% with no mortality. CONCLUSION: Laparoscopic bile duct reexploration can be safely performed and should be considered as an alternative to open surgery.
BACKGROUND: Failure of endoscopic sphincterotomy (ES) for retained bile duct stones occurs in 4% to 10% of cases and was traditionally managed with open bile duct reexploration. METHODS: This study uses retrospective analysis of a consecutive series of cases of laparoscopic bile duct reexploration for retained bile duct stones after unsuccessful ES. RESULTS: Thirty-one cases were operated over a 7-year period. Seventy percent had a previous open cholecystectomy. Ten cases were successfully treated with a transcystic approach and 19 with laparoscopic choledochotomy. Two patients were converted to open surgery. Morbidity was 3.22% with no mortality. CONCLUSION: Laparoscopic bile duct reexploration can be safely performed and should be considered as an alternative to open surgery.
Authors: Luis T Chiappetta-Porras; Eduardo D Nápoli; Carlos M Canullán; Hernán E Roff; Bernabé M Quesada; Néstor A Hernández; Juan E Petracchi; Alejandro S Oría Journal: Cir Esp Date: 2007-10 Impact factor: 1.653
Authors: Leslie K Nathanson; Nicholas A O'Rourke; Ian J Martin; George A Fielding; Alistair E Cowen; Roderick K Roberts; Bradley J Kendall; Paul Kerlin; Benedict M Devereux Journal: Ann Surg Date: 2005-08 Impact factor: 12.969
Authors: A Cuschieri; E Lezoche; M Morino; E Croce; A Lacy; J Toouli; A Faggioni; V M Ribeiro; J Jakimowicz; J Visa; G B Hanna Journal: Surg Endosc Date: 1999-10 Impact factor: 4.584
Authors: Pablo Giuffrida; David Biagiola; Agustín Cristiano; Victoria Ardiles; Martín de Santibañes; Rodrigo Sanchez Clariá; Juan Pekolj; Eduardo de Santibañes; Oscar Mazza Journal: Updates Surg Date: 2020-02-03