Laparoscopic Common Bile Duct Exploration After Unsuccessful Endoscopic Stone Removal

Abstract

LCBDE is an acceptable alternative treatment when endoscopic CBD stone removal is impossible or incomplete.

Laparoscopic Common Bile Duct Exploration in Cirrhotic Patients With Choledocholithiasis

“…14,15 There is increasing evidence supporting this procedure to significantly reduce postoperative pain, hospital stay, and blood loss. 14,15 There is increasing evidence supporting this procedure to significantly reduce postoperative pain, hospital stay, and blood loss.…”

“…3 Since the first introduction of endoscopic retrograde cholangiopancreatography (ERCP) was reported in 1974, it has gained universal acceptance, 4-6 especially in older patients. 14,15 LCBDE has become the gold standard for the removal of CBD stones in the patients with unsuccessful ERCP procedures; however, the safety and efficacy of LCBDE in patients with liver cirrhosis has not been established. 9,10 Progress in laparoscopic technology and increased experience in laparoscopic procedures including laparoscopic hepatectomy [11][12][13] enabled surgeons to perform laparoscopic common bile duct exploration (LCBDE), which reduced postsurgical pain, hospital stay, and period of disability.…”

Laparoscopic Common Bile Duct Exploration in Cirrhotic Patients With Choledocholithiasis [RETRACTED]

“…14,15 Conventional open CBD exploration is still used widely in our developing countries. 14,15 There is increasing evidence supporting this procedure to significantly reduce postoperative pain, hospital stay, and blood loss. In the last decades, ERCP clearance of CBD stones has gained universal acceptance and has become the standard procedure for most choledocholithiasis patients, but it is likely to increase patient morbidity from ERCP failure and subsequent feared need for further surgery.…”

“…3 Since the first introduction of endoscopic retrograde cholangiopancreatography (ERCP) was reported in 1974, it has gained universal acceptance and become the standard procedure for most choledocholithiasis patients, 4-6 especially in older patients. 14,15 LCBDE has become the gold standard for removal of CBD stones, but the safety and efficacy of LCBDE in patients with liver cirrhosis has not been established. 9,10 Progress in laparoscopic technology and increased experience in laparoscopic procedures including laparoscopic hepatectomy [11][12][13] enabled surgeons to perform laparoscopic common bile duct exploration (LCBDE), which reduced postsurgical pain, hospital stay, and period of disability.…”

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

“…In some institutions, after therapeutic failure with ERCP, surgery and common bile duct exploration are the choice of treatment, because 50%-60% of patients will have to be submitted to some kind of procedure 16 . Laparoscopic exploration is recommended as the first option in case of ERCP failure.…”