Résultats du traitement laparoscopique de la lithiase de la voie biliaire principale : à propos d’une série de 50 cas

Haoues, Noomen; Zaafouri, Haithem; Fendri, S.; Mrad, S. Ben; Noomen, R.; Bouhafa, Ahmed; Mammer, A. Ben; Cherif, Abderraouf

doi:10.1007/s12157-014-0530-3

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…Some authors [13] [14] have consistently asked the abdominal computed tomography (CT) in 71% -76% of cases in our study CT was requested when the result of an ultrasound was not contributory. In most series, biological tests have shown a cholestasis syndrome that varies between 20% and 30% [13] [14]. In our study, cholestasis syndrome was observed in 8 patients (20%) and leukocytosis observed in 2 cases (20%).…”

Section: Discussionmentioning

confidence: 90%

“…The surgical procedure performed in our study was associated with cholecystectomy longitudinal cholodochotomie with stone extraction. External biliary drainage was performed in all patients either by a Kher drain 39 cases (97.5%) or a trans cystic drain 1 case (2.5%) against respectively 66% and 34% in the study conducted by N. Houes [14]. Cholangiography intraoperative was not performed in our patients by lack of technical support.…”

Section: Discussionmentioning

confidence: 93%

“…However, if the technical conditions allow it, intraoperative cholangiography must be systematic to verify the patency of the bile duct and the existence of residual stones. It was performed in all patients in the study reported by N. Houes [14] or 100% of cases. An under-hepatic drain was placed in all of our patients 50 cases (100%) against 23% of cases reported by Traoré S. S. [6].…”

Section: Discussionmentioning

confidence: 99%

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The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

Sacko¹,

Diallo²,

Camara³

et al. 2019

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Considered as rare in Africa lithiasis of the main bile duct (MBD) is a potentially serious pathology, diagnosis is facilitated by imaging tests (ultrasound, CT, MRI cholangiopancreatography). Its surgical management is improved by laparoscopy coupled with interventional endoscopy. However, laparotomy remains the only way in Mali. This was a 14-years retrospective and descriptive study (2010-2014). All patients with BPV lithiasis were included. We studied the field, antecedents, clinical, biological, radiological, therapeutic and outcome aspects. 40 cases of stones in the main bile duct were collected during the study period. The hospital frequency was 2.8 cases per year, the clinical signs dominated by the Charcot triad (pain, fever, jaundice) found in 40 cases (100%). The average age was 60 years, female represented 70% of cases. Ultrasonography was the most requested review in 40 cases (100%). The procedure performed was cholecystectomy associated with choledochotomy with calculation extraction in all patients (100% of cases). One case of biliary fistula and one case of wall abscess were observed. The mortality was 5% and the simple suited in 90% of the cases. The lithiasis of the main bile duct is an infrequent pathology in Mali and potentially serious. This diagnosis is assisted in our context by ultrasound and CT. Laparotomy remains the only route of entry in Mali.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

Sacko¹,

Diallo²,

Camara³

et al. 2019

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

Kamla¹,

Bang²,

Tochie³

et al. 2023

J Med Case Reports

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Background Residual lithiasis is the presence of stones in the common bile duct, ignored after one or more biliary interventions. We report an atypical case of chronic symptomatic lithiasis of the lower bile duct occurring 41 years after biliary surgery, managed successfully by ideal choledochotomy. Case presentation A 68-year-old Black African female with several past laparotomies including a cholecystectomy forty-one years ago presented with hepatic colic-type pain that had been intermittent for several years but worsened recently. Her clinical, biological, and imaging test assessments were suggestive of a residual obstructive lithiasis of the lower common bile duct. Through an open right subcostal laparotomy approach, a dilated bile duct of approximately 3 cm was found and managed by transverse choledochotomy in which the stone was extracted in retrograde manner. After confirmation of disobstruction, a primitive bile duct suture without biliary drainage was performed and a tubular drain was positioned under the liver. The postoperative course was uneventful at follow-up of 30 days. Conclusion Residual choledocholithiasis can be avoided. We performed an ideal choledochotomy, of which the follow-up was simple.

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Résultats du traitement laparoscopique de la lithiase de la voie biliaire principale : à propos d’une série de 50 cas

Cited by 2 publications

References 22 publications

The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

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

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