Systematic Review and Meta-analysis of Laparoscopic Common Bile Duct Exploration in Patients With Previous Failed Endoscopic Retrograde Cholangiopancreatography

Zhu, Jisheng; Yang, Zhiying; Du, Peng; Wang, Hu; Xiao, Weidong; Li, Yong

doi:10.1097/sle.0000000000000949

Cited by 2 publications

(2 citation statements)

References 45 publications

(175 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was also no significant difference in the postoperative bile duct stricture or reoperation observed. The higher risk of bile leak and early peritonitis after LTDE is the most frequent complication, which can be explained by the fact that bile duct suturing is a challenging task and has a significant learning curve [60]. According to the literature, the operation time of LCBDE decreases as the experience of the surgeon increases (Zhu et al, 2015).…”

Section: Analysis Of the Resultsmentioning

confidence: 99%

Laparoscopic Approach in the Case of Biliary Obstruction: Choledocholithiasis

Sotirov¹

2024

Current Concepts and Controversies in Laparoscopic Surgery

View full text Add to dashboard Cite

Obstruction of the biliary tree may be caused by a number of benign and malignant conditions. The most common cause of biliary tree obstruction is due to stones, a condition known as choledocholithiasis. This is a potentially life-threatening condition, requiring urgent diagnosis and treatment. Endoscopic retrograde cholangiopancreatography (ERCP) is currently the most common intervention carried out in the treatment of obstructive jaundice. Laparoscopic common bile duct exploration, first performed about 30 years ago, has an important place in the management of choledocholithiasis. The laparoscopic approach is considered a safe and effective method for the removal of common bile duct stones, comparable to the results of ERCP.

show abstract

Section: Analysis Of the Resultsmentioning

confidence: 99%

Laparoscopic Approach in the Case of Biliary Obstruction: Choledocholithiasis

Sotirov¹

2024

Current Concepts and Controversies in Laparoscopic Surgery

View full text Add to dashboard Cite

show abstract

“…A recent systematic review and meta-analysis found that LC and LCBDE after previous ERCP-ES failed CBD clearance had acceptable results and constituted a reliable alternative choice after endoscopic failure[ 43 ]. A recent retrospective study from the United Kingdom found that the transcystic or transductal approach for LCBDE had similar results regarding stone clearance, conversion to open surgery and mortality, but morbidity and complications were higher in the transductal route[ 44 ].…”

Section: Managementmentioning

confidence: 99%

Current management of concomitant cholelithiasis and common bile duct stones

Pavlidis¹,

Pavlidis²

2023

World J Gastrointest Surg

View full text Add to dashboard Cite

The management policy of concomitant cholelithiasis and choledocholithiasis is based on a one- or two-stage procedure. It basically includes either laparoscopic cholecystectomy (LC) with laparoscopic common bile duct (CBD) exploration (LCBDE) in the same operation or LC with preoperative, postoperative and even intraoperative endoscopic retrograde cholangiopancreatography-endoscopic sphincterotomy (ERCP-ES) for stone clearance. The most frequently used worldwide option is preoperative ERCP-ES and stone removal followed by LC, preferably on the next day. In cases where preoperative ERCP-ES is not feasible, the proposed alternative of intraoperative rendezvous ERCP-ES simultaneously with LC has been advocated. The intraoperative extraction of CBD stones is superior to postoperative rendezvous ERCP-ES. However, there is no consensus on the superiority of laparoendoscopic rendezvous. This is equivalent to a traditional two-stage procedure. Endoscopic papillary large balloon dilation reduces recurrence. LCBDE and intraoperative ERCP have similar good outcomes. The risk of recurrence after ERCP-ES is greater than that after LCBDE. Laparoscopic ultrasonography may delineate the anatomy and detect CBD stones. The majority of surgeons prefer the transcductal instead of the transcystic approach for CBDE with or without T-tube drainage, but the transcystic approach must be used where possible. LCBDE is a safe and effective choice when performed by an experienced surgeon. However, the requirement of specific equipment and advanced training are drawbacks. The percutaneous approach is an alternative when ERCP fails. Surgical or endoscopic reintervention for retained stones may be needed. For asymptomatic CBD stones, ERCP clearance is the first-choice method. Both one-stage and two-stage management are acceptable and can ensure improved quality of life.

show abstract

Systematic Review and Meta-analysis of Laparoscopic Common Bile Duct Exploration in Patients With Previous Failed Endoscopic Retrograde Cholangiopancreatography

Cited by 2 publications

References 45 publications

Laparoscopic Approach in the Case of Biliary Obstruction: Choledocholithiasis

Laparoscopic Approach in the Case of Biliary Obstruction: Choledocholithiasis

Current management of concomitant cholelithiasis and common bile duct stones

Contact Info

Product

Resources

About