Primary closure versus T-tube drainage after laparoscopic common bile duct stone exploration

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

“…The current meta-analysis indicates that primary closure of the common bile duct results in lower morbidity rates, which is in contrast to the results of a previously published meta-analysis [30], two included RCTs [9,16], and several other retrospective studies [31,32]. Although one included trial [8] demonstrated a significantly lower morbidity rate for primary closure, the others [9, 16] did not.…”

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

“…The current meta-analysis indicates that primary closure of the common bile duct results in lower morbidity rates, which is in contrast to the results of a previously published meta-analysis [30], two included RCTs [9,16], and several other retrospective studies [31,32]. Although one included trial [8] demonstrated a significantly lower morbidity rate for primary closure, the others [9, 16] did not.…”

Comparative analysis of surgical outcomes: post-ERCP laparoscopic cholecystectomy versus elective laparoscopic cholecystectomy

“…However, the opposing view is that ERCP may have a palliative effect on cholecystitis and indirectly on laparoscopic cholecystectomy because it provides source control by removing the bile duct stone and evacuates the gallbladder when the cystic duct is open. [24][25][26][27][28][29][30] If stones in the common bile duct have not been reduced by ERCP and residual stones are suspected, the bile duct should be explored laparoscopically or openly. Although laparoscopic bile duct exploration is more popular these days, it is not practiced by many surgeons.…”

Obstructive lithiasis of the lower bile duct discovered four decades after cholecystectomy and its management by ideal choledochotomy: a case report

“…When conditions permit, choledochorraphy will be done without biliary drainage. This “ideal” option was first described in 1917 by Halstead [ 4 ], then endorsed by several comparative studies indicating a significant reduction in mortality and morbidity, rendering obsolete the dogma of external biliary drainage, almost systematic after choledochotomy [ 16 , 18 , 19 ]. However, subhepatic drainage is warranted to detect a possible bile leak.…”

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

“…The current meta-analysis indicates that primary closure of the common bile duct results in lower morbidity rates, which is in contrast to the results of a previously published meta-analysis [30], two included RCTs [9,16], and several other retrospective studies [31,32]. Although one included trial [8] demonstrated a significantly lower morbidity rate for primary closure, the others [9, 16] did not.…”

Comparative analysis of surgical outcomes: post-ERCP laparoscopic cholecystectomy versus elective laparoscopic cholecystectomy

“…However, the opposing view is that ERCP may have a palliative effect on cholecystitis and indirectly on laparoscopic cholecystectomy because it provides source control by removing the bile duct stone and evacuates the gallbladder when the cystic duct is open. [24][25][26][27][28][29][30] If stones in the common bile duct have not been reduced by ERCP and residual stones are suspected, the bile duct should be explored laparoscopically or openly. Although laparoscopic bile duct exploration is more popular these days, it is not practiced by many surgeons.…”

Obstructive lithiasis of the lower bile duct discovered four decades after cholecystectomy and its management by ideal choledochotomy: a case report

“…When conditions permit, choledochorraphy will be done without biliary drainage. This “ideal” option was first described in 1917 by Halstead [ 4 ], then endorsed by several comparative studies indicating a significant reduction in mortality and morbidity, rendering obsolete the dogma of external biliary drainage, almost systematic after choledochotomy [ 16 , 18 , 19 ]. However, subhepatic drainage is warranted to detect a possible bile leak.…”

Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials

“…The current meta-analysis indicates that primary closure of the common bile duct results in lower morbidity rates, which is in contrast to the results of a previously published meta-analysis [30], two included RCTs [9,16], and several other retrospective studies [31,32]. Although one included trial [8] demonstrated a significantly lower morbidity rate for primary closure, the others [9, 16] did not.…”

Comparative analysis of surgical outcomes: post-ERCP laparoscopic cholecystectomy versus elective laparoscopic cholecystectomy

“…However, the opposing view is that ERCP may have a palliative effect on cholecystitis and indirectly on laparoscopic cholecystectomy because it provides source control by removing the bile duct stone and evacuates the gallbladder when the cystic duct is open. [24][25][26][27][28][29][30] If stones in the common bile duct have not been reduced by ERCP and residual stones are suspected, the bile duct should be explored laparoscopically or openly. Although laparoscopic bile duct exploration is more popular these days, it is not practiced by many surgeons.…”

Obstructive lithiasis of the lower bile duct discovered four decades after cholecystectomy and its management by ideal choledochotomy: a case report

“…When conditions permit, choledochorraphy will be done without biliary drainage. This “ideal” option was first described in 1917 by Halstead [ 4 ], then endorsed by several comparative studies indicating a significant reduction in mortality and morbidity, rendering obsolete the dogma of external biliary drainage, almost systematic after choledochotomy [ 16 , 18 , 19 ]. However, subhepatic drainage is warranted to detect a possible bile leak.…”