Laparoscopic Clearance of Giant Common Bile Duct Stones in Late Pregnancy

Lopez, J Ferreiro; Rodriguez, Karime; Targarona, Eduardo M.; Corral, I. F. Alejandro; Padilla, Fernando; Gameros, Rene; Reyes, Arturo

doi:10.4293/crsls.2014.00146

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…A literature search of LBDE during pregnancy identi ed six case reports that included a total of 7 patients (Table3)(17)(18)(19)(20)(21)(22). Maternal age ranged between19 …”

mentioning

confidence: 99%

Laparoscopic bile duct exploration during pregnancy: a multi-center case series and literature review

López-López

Navaratne

Ferreras

et al. 2023

Langenbecks Arch Surg

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BackgroundThe physiological changes of pregnancy increase the risk of gallstone formation and choledocholithiasis. Traditionally, endoscopic retrograde cholangiopancreatography (ERCP) has been the main approach for managing choledocholithiasis during pregnancy, but recent progress in laparoscopic bile duct exploration (LBDE) has demonstrated this technique as a safe and effective alternative option. MethodsA retrospective multicenter study of all patients who underwent LBDE during pregnancy from ve centers with proven experience in LBDE between January 2010 and June 2020 was performed. The primary endpoint was to analyze the role of LBDE during pregnancy and to further characterize its position as a safe and effective alternative for the management of choledocholithiasis. A systematic review of the published literature relating to LBDE during pregnancy until February 2022 was also performed. ResultsFive from 17 centers, with a total of 3950 LBDEs reported performing LBDE during pregnancy with a cumulative experience of eight patients (0.2%). Median surgical time was 75 minutes (range: 60-140 minutes). The bile duct was cleared successfully in all patients and the median hospital stay was 2 days (range:1-3 days). The literature review identi ed a total of seven patients with a successful CBD clearance rate of 86%. There were no major maternal, fetal or pregnancy-related complications in any of the total 15 patients included. ConclusionThe limited available data suggests that LBDE during pregnancy is a safe and effective. More evidence reporting outcomes of LBDE during pregnancy is needed before any strong recommendations can be made.

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“…A literature search of LBDE during pregnancy identi ed six case reports that included a total of 7 patients (Table3)(17)(18)(19)(20)(21)(22). Maternal age ranged between19 …”

mentioning

confidence: 99%

Laparoscopic bile duct exploration during pregnancy: a multi-center case series and literature review

López-López

Navaratne

Ferreras

et al. 2023

Langenbecks Arch Surg

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Emergency general surgery in pregnancy

Skubic

Salim

2017

Trauma Surg Acute Care Open

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It is often that the acute care surgeon will be called on to evaluate the pregnant patient with abdominal pain. Most of the diagnostic and management decisions regarding pregnant patients will follow the usual tenets of surgery; however, there are important differences in the pregnant patient to be aware of to avoid pitfalls which can lead to complications for both mother and fetus. This review hopes to describe the most common emergencies facing the surgeon caring for the pregnant patient and the latest management options.

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Laparoscopic bile duct exploration during pregnancy: a multi-centre case series and literature review

López-López

Navaratne

Ferreras

et al. 2022

Preprint

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BackgroundThe physiological changes of pregnancy increase the risk of gallstone formation and choledocholithiasis. Traditionally, endoscopic retrograde cholangiopancreatography (ERCP) has been the main approach for managing choledocholithiasis during pregnancy, but recent progress in laparoscopic bile duct exploration (LBDE) has demonstrated this technique as a safe and effective alternative option.MethodsA retrospective multicenter study of all patients who underwent LBDE during pregnancy from five centers with proven experience in LBDE between January 2010 and June 2020 was performed. The primary endpoint was to analyze the role of LBDE during pregnancy and to further characterize its position as a safe and effective alternative for the management of choledocholithiasis. A systematic review of the published literature relating to LBDE during pregnancy until February 2022 was also performed.ResultsFive from 17 centers, with a total of 3950 LBDEs reported performing LBDE during pregnancy with a cumulative experience of eight patients (0.2%). Median surgical time was 75 minutes (range: 60-140 minutes). The bile duct was cleared successfully in all patients and the median hospital stay was 2 days (range: 1-3 days). The literature review identified a total of seven patients with a successful CBD clearance rate of 86%. There were no major maternal, fetal or pregnancy-related complications in any of the total 15 patients included.ConclusionThe limited available data suggests that LBDE during pregnancy is a safe and effective. More evidence reporting outcomes of LBDE during pregnancy is needed before any strong recommendations can be made.

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Laparoscopic Clearance of Giant Common Bile Duct Stones in Late Pregnancy

Cited by 3 publications

References 11 publications

Laparoscopic bile duct exploration during pregnancy: a multi-center case series and literature review

Laparoscopic bile duct exploration during pregnancy: a multi-center case series and literature review

Emergency general surgery in pregnancy

Laparoscopic bile duct exploration during pregnancy: a multi-centre case series and literature review

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