Laparoscopic common bile duct exploration

Zerey, Marc; Richardson, William; Santos, Byron F.; Fanelli, Robert D.; Brunt, L. Michael; Stefanidis, Dimitrios

doi:10.1007/s00464-017-5991-1

Cited by 29 publications

(34 citation statements)

References 73 publications

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“…The referencing order of the studies included in Table 2 starts from the most recently published papers. 19-54 Grading of the reviewed evidence was based on the content of Table 3. Statistical difference significance was considered to be P ≤ .05.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic Exploration of the Common Bile Duct: A Systematic Review of the Published Evidence Over the Last 10 Years

Marks

Samaraee

2020

The American Surgeon

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Introduction Endoscopic and open surgical interventions are widely implemented as the standard practice in common bile duct exploration. However, the laparoscopic approach has been also reported to have comparative/superior outcomes in this concept. This has created an ongoing debate about the ideal approach to adopt in practice. Methods A systematic review of the published evidence over the last decade that has looked into the outcomes of laparoscopic exploration of the common bile duct through transductal and transcystic approaches. Results Our systematic review included 36 relevant papers. The majority were based on nonrandomized protocols conducted in single centers with high expertise. The data analysis showed that laparoscopic common bile duct exploration through both approaches was successful in more than 84% of the patients, with an average length of hospital stay of 5.6 days. Conversion to open surgery was reported in 5%-8% of the patients, and the bile leak rates from the more recent studies was 0%-12%, with mortality figures of 0%-1.3%. The outcomes were statistically in favor of the transcystic route when compared to the transductal route from the viewpoints of bile leak rates, mean operative time, duration of hospital stay and morbidity. Conclusion In experienced hands, both laparoscopic approaches in common bile duct exploration are safe in patients who are clinically fit to have this intervention. It is associated with a statistically significant lower overall morbidity and shorter duration of hospital stay when compared to open surgery. Relevant up-to-date high-quality randomized trials are unavailable.

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Section: Methodsmentioning

confidence: 99%

Laparoscopic Exploration of the Common Bile Duct: A Systematic Review of the Published Evidence Over the Last 10 Years

Marks

Samaraee

2020

The American Surgeon

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“…A other 5 th port was added, and placed on the left-up quadrant under laparoscope in order to dissect the adhesions if the patients experience the previous abdominal operation. [ 3 ] Artificial pneumoperitoneum pressure was set as 12 to 14 mmHg (1 mmHg = 0.133 kPa).…”

Section: Methodsmentioning

confidence: 99%

Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Wang

Zhou²,

Hou³

et al. 2018

Medicine

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To investigate the clinical application ofthe “three lines and one plane” concept as the anatomic landmarks during laparoscopic common bile duct exploration (LCBDE).From January 2014 to February 2017, 148 cases of LCBDE performed in the General Surgery Department of the 2nd affiliated Hospital of Anhui Medical University were recruited, and analyzed in this study. “Three lines and one plane” was applied as anatomical landmarks during LCBDE, and the perioperative clinical outcomes were analyzed.No serious operational complications occurred in all the patients in this study. Two cases (1.4%) was converted to open operation. Two other cases (1.4%) suffered post-operative bile leakage and were cured by conservative treatment. All patients recovered uneventfully.Anatomical landmarks of “three lines and one plane” is benefit in helping surgeons to build a three-dimensional (3D) anatomical construction, and avoiding the operative injury of the bile duct, and vessels.

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“…Kharbutli et al demonstrated that treating common bile duct lithiasis in one stage (surgical exploration) is associated with less morbidity and mortality (7% and 0.19%) than the 2-stage treatment (ERCP + cholecystectomy) (13.5% and 0.5%) 3,[10][11][12] . Furthermore, the single-stage management is associated with lower costs, shorter hospital stays, and higher rates of technical success 13,14 . A recent meta-analysis from Pan et al confirmed the superiority of LCBDE+LC over preoperative endoscopic sphincterotomy + LC, in perioperative safety and short-and long-term postoperative efficacy 15 .…”

Section: Treatment Optionsmentioning

confidence: 99%

“…A prospective and randomized study showed that the surgical time in open and laparoscopic approaches was similar, but the morbidity rate and length of hospitalization were lower in the laparoscopic group. Also, the laparoscopic approach can be performed without increasing the risk of biliary complications and providing quicker recovery and less postoperative pain 12,13,17,18 . LCBDE can be performed using a transcystic approach or a transcholedochal approach, through choledochotomy.…”

Section: Treatment Optionsmentioning

confidence: 99%

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Innovative hybrid technique of bile duct exploration in the treatment of Choledocolithiasis

Navarini

Albuquerque

et al. 2020

CBR

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Introduction: Common bile stone disease (CBDS) is frequent and has potentially severe complications, such as acute biliary pancreatitis and cholangitis. Unnecessary and unplanned procedures should be avoided, so before choosing the best treatment of common bile duct lithiasis it is essential to have a proper diagnose. CBDS is currently treated by therapeutic endoscopic retrograde cholangiopancreatography (ERCP) or laparoscopic bile duct exploration (LCBDE). Results: The aim of this article is to present an innovative hybrid technique for common bile duct exploration, as an option for cases where the laparoscopic approach is not resolutive, avoiding the need for conversion to open approach technique. Conclusions: The hybrid technique has the same benefits as open and laparoscopic techniques, but without increasing material costs and with good resolution in complex cases of common bile duct stones.

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Laparoscopic common bile duct exploration

Cited by 29 publications

References 73 publications

Laparoscopic Exploration of the Common Bile Duct: A Systematic Review of the Published Evidence Over the Last 10 Years

Laparoscopic Exploration of the Common Bile Duct: A Systematic Review of the Published Evidence Over the Last 10 Years

Application of “three lines and one plane” as anatomic landmarks in laparoscopic surgery for bile duct stones

Innovative hybrid technique of bile duct exploration in the treatment of Choledocolithiasis

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