Laparoscopic Remnant Cholecystectomy With CBD Exploration

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Manash R. Sahoo ◽  
Sanhita Panigrahi ◽  
Mahesh K. Sethi ◽  
Bodda A. Kumar
Keyword(s):  
Cbd Exploration

scholarly journals Predictors of the success of Common Bile Duct (CBD) Exploration for Choledocholithiasis – a 10 Year Retrospective Study

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S475
Author(s):  
Chien-Tse Kao ◽  
Rosemary Seagar ◽  
Dan Heathcock ◽  
Mark Tacey ◽  
David Bird ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Cbd Exploration

scholarly journals Laparoscopic CBD Exploration (LCBDE) a better and safe option for large CBD stones

2021 ◽  
Vol 15 (6) ◽  
pp. 1321-1323
Author(s):  
I. Sadiq ◽  
A. Malik ◽  
J. K. Lodhi ◽  
S. T. Bukhari ◽  
R. Maqbool ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Leak ◽  
Common Bile Duct Stones ◽  
Common Bile Duct Exploration ◽  
Open Approach ◽  
Cbd Stones ◽  
Duration Of Surgery ◽  
Laparoscopic Cbd Exploration ◽  
Cbd Exploration

Background: Conventionally, common bile duct stones (CBDS) are removed with help of ERCP. However, if CBDS are larger than 10 mm, then the ERCP failure rate to retrieve CBDS becomes high. In that case, open or laparoscopic common bile duct exploration (LCBDE) is other alternative. In this era of minimally invasive surgery, laparoscopic CBD exploration (LCBDE) seems to be a better option than open approach, but in our set up the safety of LCBDE is questioned. Aim: To see the conversion rate as well as complications associated with LCBDE. Material & Methods: Methods: This is a retrospective analysis of data of patients who underwent Laparoscopic Common Bile Duct Exploration (LCBDE) for large CBD stones at Fatima Memorial Hospital Lahore. Results: Since 2012, 29 patients of large (≥10 mm) CBD stones were included in this study. Among them 20(69.9%) were females and 9(31.01%) were males. The mean CBD stone size was 13 mm. Stones were extracted transcystically in 4 case and Transcholedochal stone extraction was done in 25 cases. The average duration of surgery was 130 minutes, but all cases were completed successfully without converting to open approach. There was minor bile leak in 3 patients which was managed successfully without any further intervention. No other complication was observed with LCBDE and even no retained stone was reported. Conclusion: Laparoscopic CBD exploration is safe and effective method of dealing CBD stones especially of large size when the chances of ERCP failure to retrieve stones are high. Keywords: Laparoscopy, ERCP, common bile duct,

scholarly journals Novel Method for Laparoscopic Common Bile Duct Exploration Performed Using a Disposable Bronchoscope (Ambu® aScope TM)

2017 ◽  
Vol 2 (2) ◽  
pp. 49-51
Author(s):  
Yousif Mahmood Aawsaj ◽  
Ibrahim K Ibrahim ◽  
Andrew Gilliam
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Case Series ◽  
Cost Effective ◽  
Common Bile Duct Exploration ◽  
Capital Outlay ◽  
Case Surgery ◽  
Laparoscopic Cbd Exploration ◽  
The Cost ◽  
Cbd Exploration

Laparoscopic common bile duct (CBD) exploration can be performed following choledocotomy or via the trancystic approach. Laparoscopic CBD exploration is limited in some benign upper gastrointestinal units due to the cost of sterilization of the re-usable choledochoscope. We have recently published a case series confirming the safety and efficacy of the 5mm re-usable bronchoscope for CBD exploration. This case series evaluates a single-use bronchochoscope (Ambu aScopeTM) for laparoscopic CBD exploration. Data were collected from electronic records of the patients from January 2015 until December 2016; all the cases had confirmation of CBD stones. Twenty-one patients had CBD exploration using the disposable bronchochoscope. There were 7 male and 14 female (median age 42). 8 procedures were performed as emergencies and 13 were performed electively. All the cases were done laparoscopically apart from one planned as an open procedure due to previous extensive open surgery. Twenty cases had their CBD cleared using disposable bronchoscope and one needed subsequent special test follow up. Choledocotomy was performed in 15 and Tran’s cystic approach was performed in 6. No T-tube was used in the laparoscopic cases. 2 cases were performed as day case surgery. Median postoperative hospital stay was 2.5 days. In conclusion, the disposable bronchoscope is safe and effective for use in CBD exploration with results comparable to our previously published case series. It has guaranteed sterility and is cost effective compared to the re-usable bronchoscope especially when initial capital outlay, sterile processing and maintenance costs are considered.

scholarly journals Incidence of choledocholithiasis in gallstone disease

2018 ◽  
Vol 8 (1) ◽  
pp. 43-45
Author(s):  
Kishor Kumar Tamrakar ◽  
Abhishek Bhattarai ◽  
Pragya Devakota
Keyword(s):  
Minimally Invasive Surgery ◽  
Bile Duct ◽  
Bile Duct Stone ◽  
Open Cholecystectomy ◽  
Gallstone Disease ◽  
Technical Expertise ◽  
Hospital Record ◽  
Clinical Pictures ◽  
Preoperative Examination ◽  
Cbd Exploration

Background: Five to 20% patients with cholelithiasis also have choledocholithiasis. Most of them are diagnosed during a routine preoperative examination. Objective: To study the incidence of choledocholithiasis in patients with gallstone disease. Materials and methods: This is a retrospective observational study, conducted over a period of five years from January 2009 December 2013. Hospital record of the patients with a diagnosis of gallstone disease were evaluated. Clinical pictures of the disease and incidence of choledocholithiasis in those patients were analyzed. Result: One thousand four hundred sixty were diagnosed as a gallstone disease over a period of five years. Bile duct stone was found in 59 (4.04%) patients. The median age of presentation was 55 years. Classical charcots traid was seen in 9 (15.25%) patients. Ultrasound of the abdomen detected choledocholithiasis in 44 (74.57%) patients. Fifty four (91.52%) patients were managed with open cholecystectomy and CBD exploration. Conclusion: Incidence of choledocholithiasis in patients with gallstone disease is 4.04%. Most of the choledocholithiasis were diagnosed by ultrasound of the abdomen. Even in the era of minimally invasive surgery, when facilities and technical expertise are not available choledocholithiasis has to be managed with open CBD exploration.

scholarly journals Initiating advanced laparoscopic surgery in a medical college hospital with basic laparoscopic set up: Is it feasible and safe?

1970 ◽  
Vol 8 (2) ◽  
pp. 261-264
Author(s):  
PB Thapa
Keyword(s):  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Harmonic Scalpel ◽  
Oncological Outcome ◽  
Sigmoid Colectomy ◽  
Early Recovery ◽  
College Hospital ◽  
Advanced Laparoscopy ◽  
Laparoscopic Assisted ◽  
Cbd Exploration

Background: Laparoscopic surgery involves performing surgery through small incisions in abdominal wall to get access. Primary goal of this procedure is to achieve good cosmetic outcome, reduced post operative pain, early recovery and reduced hospital admission. Objective: The main objective of this study is to see the feasibility and benefit of performing advance laparoscopic surgery in a place where basic laparoscopic surgery is done and to share my experience while performing it. Materials and methods: A retrospective study of case sheets and discharge summary from 1st May 2008 till 1st August 2009 was done. Altogether eight patients underwent different advanced laparoscopic procedure. Cases done for the first time in the institute and those done by himself were only included. Technical feasibility, use of devices like harmonic scalpel, need for incision extension, operative time, blood product requirement, ambulation and enteral feed, post operative hospital stay and patients satisfaction regarding minimal scars were assessed. Result: Total eight patients underwent advance laparoscopic surgery. There were two common bile duct (CBD) exploration of which one was transcystic exploration, one total laparoscopic abdominoperineal resection (APR) for rectal cancer, one laparoscopic assisted right hemicolectomy for carcinoma ceacum, one laparoscopic assisted sigmoid colectomy for recurrent sigmoid volvulus, two laparoscopic right nephrectomy for non functioning right kidney, one retroperitoneal pyelolithotomy and one laparoscopic assisted splenectomy for massive splenomegaly with haemolytic anaemia. All procedures were technically feasible with basic laparoscopic instruments. However harmonic scalpel was required for splenectomy due to difficult hilum dissection. Ureteroscope was used as a choledochoscope in CBD exploration. Blood transfusion was required only in patient with low preoperative haemoglobin. Early ambulation and enteral feed was done within 24 hours in all and within 48 hours in patients who had bowel anastomosis. Post operative hospital stay was 5-8 days. Cosmetic scar was appreciated by all. Although long term oncological outcome is yet to come in malignancy case, biopsy report of laparoscopic APR identified 13 nodes which shows complete nodal dissection on oncological principal basis. Conclusion: Advanced laparoscopy is feasible, safe and effective in the hand of surgeons performing basic laparoscopic surgeries with guidance from surgeons who have long experience on same procedures but by open method. Key words: Advanced Laparoscopic Surgery DOI: 10.3126/kumj.v8i2.3572 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 261-264

scholarly journals Common Bile Duct (CBD) exploration for patients with unsuspecting choledocholithiasis - a ten-year study of outcomes

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S270
Author(s):  
Rosemary Seagar ◽  
Daniel Heathcock ◽  
Chien-Tse Kao ◽  
David Bird ◽  
Russell Hodgson
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Cbd Exploration
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