Laparoscopic Common Bile Duct Exploration for Common Bile Duct Stones Complicated with Cholangitis in Patients with Roux-en-Y Gastric Bypass—Clinical Experience from Three Cases

Olausson, Maria; Westen, Mikkel; Boilesen, Astrid E. B.; Shabanzadeh, Daniel Mønsted

doi:10.1007/s11695-020-04947-w

Cited by 2 publications

(1 citation statement)

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“…In recent years, laparoscopic technology development has matured. The success rate of LCDBE combined with LC has increased, the effect has been improved, and the incidence of adverse events during and after surgery has also decreased to varying degrees [5][6]. This article will compare META analysis to compare the "onestep method" LCDBE combined with LC and the "two -step method" ERCP/EST sequential LC treatment of gallbladder stones combined with CBDS effects and safety, thinking that the choice of clinical treatment plan provides a basis.…”

Section: Introductionmentioning

confidence: 99%

"One -step method" laparoscopic bile tube detection+laparoscopic cholecystectomy treatment Meta analysis of gallbladder stones with gallbladder chassis stones

Ding

Yan

2023

Preprint

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Objective Analyze the "one -step method" laparoscopic biliary tube detection (LCBDE) combined with laparoscopic gallbladder sinking (LC) to treat the effects and safety of gallbladder stones with bile stones (CBDS). Methods Retrieve Chinese and English databases, collect LCBDE combined with LC to treat gallbladder stones with clinical random control research (RCT). Essence The ending indicators include CBD clearing stones, transit opening rates, stones residual rates, stones recurrence rates, postoperative complications, and postoperative hospitalization. Results This study has been included in 21 documents. Two groups of CBD Qingshi (OR = 0.78, 95%CI: 0.49, 1.25), stones residue rate (or = 0.73, 95%CI: 0.34, 1.56) There is no statistical difference. The recurrence rate of "one -step method" is significantly lower than the "two -step method" (or = 0.37, 95%CI: 0.20, 0.69), the total incidence of complications was significantly lower (or = 0.66, 95%CI: 0.52, 0.84), shorter after surgery (WMD =−1.07D, 95%CI:−2.00,−0.14). Conclusion The "one -step method" LCBDE combined with LC treatment of gallbladder stones and CBDS effects are equivalent to ERCP/EST sequential LC, but their postoperative complications have fewer complications. Patients recovery after surgery are a more ideal choice.

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Section: Introductionmentioning

confidence: 99%