The results of combined laparoscopic and choledoscopic common bile duct stones extraction with primary closure of common bile duct
EAES Academy. Ukhanov A. 07/05/22; 363050; P094
Prof. Dr. Aleksandr Ukhanov
Contributions
Contributions
Abstract
Aim:
To evaluate the results of primary closure of common bile duct after laparoscopic common bile duct extraction using choledochoscopy.
Materials and methods: 36 patients undergoing laparoscopic common bile duct exploration in emergency surgical department in the period from 2017 till 2021 years were included in the study. Age of the patient varied from 25 till 78 years. Intraoperative cholangiography and choledochoscopy was carried out during laparoscopic intervention. Preoperative and intraoperative parameters including the technique of CBD closure are presented in the report as well as the discussion of postoperative morbidity, complications, length of hospital stay.
Results:
The average duration of combined laparoscopic and choledochoscopic interventions was 98±24.8 minutes (range, 70 to 210 min). The number of extracted gallstones varied from 1 till 8. Transient bile leakage was seen in 3 patients and in two cases required relaparoscopy and additional choledochotomy suturing. There was no mortality during postoperative period.
Conclusion Primary closure of common bile duct after of combined laparoscopic and choledoscopic stones extraction is feasible, safe and associated with minimal morbidity. The routine use of this procedure is recommended based on our experience.
To evaluate the results of primary closure of common bile duct after laparoscopic common bile duct extraction using choledochoscopy.
Materials and methods: 36 patients undergoing laparoscopic common bile duct exploration in emergency surgical department in the period from 2017 till 2021 years were included in the study. Age of the patient varied from 25 till 78 years. Intraoperative cholangiography and choledochoscopy was carried out during laparoscopic intervention. Preoperative and intraoperative parameters including the technique of CBD closure are presented in the report as well as the discussion of postoperative morbidity, complications, length of hospital stay.
Results:
The average duration of combined laparoscopic and choledochoscopic interventions was 98±24.8 minutes (range, 70 to 210 min). The number of extracted gallstones varied from 1 till 8. Transient bile leakage was seen in 3 patients and in two cases required relaparoscopy and additional choledochotomy suturing. There was no mortality during postoperative period.
Conclusion Primary closure of common bile duct after of combined laparoscopic and choledoscopic stones extraction is feasible, safe and associated with minimal morbidity. The routine use of this procedure is recommended based on our experience.
Aim:
To evaluate the results of primary closure of common bile duct after laparoscopic common bile duct extraction using choledochoscopy.
Materials and methods: 36 patients undergoing laparoscopic common bile duct exploration in emergency surgical department in the period from 2017 till 2021 years were included in the study. Age of the patient varied from 25 till 78 years. Intraoperative cholangiography and choledochoscopy was carried out during laparoscopic intervention. Preoperative and intraoperative parameters including the technique of CBD closure are presented in the report as well as the discussion of postoperative morbidity, complications, length of hospital stay.
Results:
The average duration of combined laparoscopic and choledochoscopic interventions was 98±24.8 minutes (range, 70 to 210 min). The number of extracted gallstones varied from 1 till 8. Transient bile leakage was seen in 3 patients and in two cases required relaparoscopy and additional choledochotomy suturing. There was no mortality during postoperative period.
Conclusion Primary closure of common bile duct after of combined laparoscopic and choledoscopic stones extraction is feasible, safe and associated with minimal morbidity. The routine use of this procedure is recommended based on our experience.
To evaluate the results of primary closure of common bile duct after laparoscopic common bile duct extraction using choledochoscopy.
Materials and methods: 36 patients undergoing laparoscopic common bile duct exploration in emergency surgical department in the period from 2017 till 2021 years were included in the study. Age of the patient varied from 25 till 78 years. Intraoperative cholangiography and choledochoscopy was carried out during laparoscopic intervention. Preoperative and intraoperative parameters including the technique of CBD closure are presented in the report as well as the discussion of postoperative morbidity, complications, length of hospital stay.
Results:
The average duration of combined laparoscopic and choledochoscopic interventions was 98±24.8 minutes (range, 70 to 210 min). The number of extracted gallstones varied from 1 till 8. Transient bile leakage was seen in 3 patients and in two cases required relaparoscopy and additional choledochotomy suturing. There was no mortality during postoperative period.
Conclusion Primary closure of common bile duct after of combined laparoscopic and choledoscopic stones extraction is feasible, safe and associated with minimal morbidity. The routine use of this procedure is recommended based on our experience.
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