Journal of laparoendoscopic & advanced surgical techniques. Part A · 2016
Outcomes of Laparoscopic Common Bile Duct Exploration After Failed Endoscopic Retrograde Cholangiopancreatography in Patients with Concomitant Gall Stones and Common Bile Duct Stones: A Prospective Study.
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Bansal Virinder Kumar, Krishna Asuri, Rajan Karthik, Prajapati Omprakash, Kumar Subodh, Rajeshwari Subramaniam, Garg Pramod, Misra Mahesh C
Аннотация
INTRODUCTION: The aim of the present study was to compare the outcomes of secondary laparoscopic CBD exploration (LCBDE) following failed endoscopic retrograde cholangiopancreatography (ERCP) and primary laparoscopic common bile duct (CBD) exploration.
MATERIALS AND METHODS: One hundred eighty-five patients undergoing LCBDE were divided into Group I consisting of patients undergoing a primary LCBDE (n = 102) and Group II consisting of patients undergoing LCBDE after failure of ERCP to clear the CBD stones (n = 83). Primary outcome measure was successful laparoscopic CBD clearance. The secondary outcome measures were degree of difficulty, operative time, complications, hospital stay, and the cost of treatment.
RESULTS: Success rate was similar in both groups (85.3% versus 80.7%). Mean operative time, degree of difficulty, hospital stay, and cost of procedure were significantly higher in Group II (P value <.05).
CONCLUSION: It may be prudent to consider ERCP failure patients for primary LCBDE than risk the complications of ERCP if they are suitable for primary surgery.
MATERIALS AND METHODS: One hundred eighty-five patients undergoing LCBDE were divided into Group I consisting of patients undergoing a primary LCBDE (n = 102) and Group II consisting of patients undergoing LCBDE after failure of ERCP to clear the CBD stones (n = 83). Primary outcome measure was successful laparoscopic CBD clearance. The secondary outcome measures were degree of difficulty, operative time, complications, hospital stay, and the cost of treatment.
RESULTS: Success rate was similar in both groups (85.3% versus 80.7%). Mean operative time, degree of difficulty, hospital stay, and cost of procedure were significantly higher in Group II (P value <.05).
CONCLUSION: It may be prudent to consider ERCP failure patients for primary LCBDE than risk the complications of ERCP if they are suitable for primary surgery.
Предметные рубрики MeSH
AdolescentAdultAgedBiliary Tract Surgical ProceduresChildCholangiopancreatography, Endoscopic RetrogradeCholecystectomy, LaparoscopicCholedocholithiasisCommon Bile DuctCosts and Cost AnalysisFemaleGallstonesHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimeProspective StudiesTreatment FailureTreatment OutcomeYoung Adult