PERCUTANEOUS (LAPAROSCOPIC) CHOLECYSTECTOMY AND EXPLORATION OF THE COMMON BILE DUCT: THE COMMON BILE DUCT STONE RECLAIMED FOR THE SURGEON

1991 ◽  
Vol 61 (11) ◽  
pp. 814-815 ◽  
Author(s):  
David R. Fletcher
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
The Common

scholarly journals ROLE OF EARLY LAPAROSCOPIC CHOLECYSTECTOMY IN PREVENTING COMPLICATIONS OF ACUTE CHOLECYSTITIS

2020 ◽  
pp. 1-3
Author(s):  
Mukesh Kumar ◽  
Sanjay Kumar Suman ◽  
Pawan Kumar Jha ◽  
Debarshi Jana
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Conservative Treatment ◽  
Common Bile Duct ◽  
Acute Cholecystitis ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
The Other ◽  
Study Results ◽  
Delayed Group

Background: Cholecystectomy is the standard and the only curative treatment for acutecholecystitis. The complications of acute cholecystitis are disastrous to the patients; on the other hand, conservative treatment is associated with recurrence of symptoms and other complications as common bile duct stone. The aim of this study is to weight out the complication of emergency surgery against the complications of conservative treatment in patients with acute cholecystitis. Materials andmethods: A total of 80 patients were included in the study. All Patients underwent early laparoscopiccholecystectomy or interval laparoscopic cholecystectomies for acute calcularcholecystitis from October 2017 to September 2019 were included in the study. Results: The overall complication rate was 15% (6 of 40 in early group and 10% (4 of 40) in the delayed group. One case of delayed group suffering recurrent acute attack and the other one suffering common bile duct stone, there was no major bile duct injury in the delayed group. Conclusion: Laparoscopic cholecystectomy is a safe and cost-effective approach for the treatment of acute cholecystitis within 72 h after the onset of attack.

The Common Bile Duct Stone: Time to Leave it to the Laparoscopic Surgeon?

Endoscopy ◽  
1994 ◽  
Vol 26 (03) ◽  
pp. 315-319 ◽  
Author(s):  
K. F. Binmoeller ◽  
N. Soehendra ◽  
C. Liguory
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
The Common

Unsuspected common bile duct stone encountered at laparoscopic cholecystectomy

1995 ◽  
Vol 108 (4) ◽  
pp. A1220
Author(s):  
C.A. Floresguerra ◽  
I Ponce ◽  
S.A. Copeland ◽  
I.W. Browder
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone

scholarly journals Single Stage Management of Concomitant Cholelithiasis and Choledocholithiasis

2017 ◽  
Vol 56 (205) ◽  
pp. 117-123
Author(s):  
Mukund Raj Joshi ◽  
Tanka Prasad Bohara ◽  
Shail Rupakheti ◽  
Deepak Raj Singh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Single Stage ◽  
Endoscopic Management ◽  
Stage Management ◽  
Endoscopic Method ◽  
Procedural Time

Introduction: Concomitant cholelithiasis and choledocholithiasis are commonly managed in two stage procedure, endoscopic management of common bile duct stone followed by laparoscopic cholecystectomy in different time and setting. We perform these two procedures in same sitting in operating room set up. We evaluated the procedure in terms of outcome, feasibility and complications. Methods: Prospective cross-sectional study carried out since April 2013 to August 2016 in all patients who had undergone single stage endoscopic and laparoscopic management of concomitant cholelithiasis and choledocholithiasis. Patient’s demography, procedural time for different procedure and procedure in total and post-operative complications were recorded and analyzed with suitable statistical methods. Results: Out of 50 cases enrolled, 2 patients were converted to open. Out of 48 patients, 3 needed re-attempt for completion. Majority were female 36 (72%), mean age was 39.48years. Mean common bile duct diameter and mean stone size was 11.43±2.63 cm and 7.99±2.01cm, respectively. Mean of total procedural time was 90.93± 33.68 minutes. In most of the cases, laparoscopic cholecystectomy performed first followed by endoscopic method (66.7%). Total procedural time was less in the patients who underwent laparoscopy first in comparison to endoscopy first. Clinically significant complications like cholangitis, pancreatitis and duodenal perforation occurred in 7 patients. Out of 4 patients who developed pancreatitis, one had severe acute pancreatitis requiring prolonged hospitalization. Conclusion: Single stage management of common bile duct and gall bladder stone by laparoscopic and endoscopic method is feasible in our setup with acceptable results. Endoscopic treatment of common bile duct stone if performed first, is associated with longer procedural time. Keywords: choledocholithiasis; cholelithiasis; endoscopic retrograde cholangiopancreatography; laparoscopic cholecystectomy.

scholarly journals Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis

2016 ◽  
Vol 15 (4) ◽  
pp. 517-521
Author(s):  
Sumita Pradhan ◽  
JN Shah
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Medical Science ◽  
Common Bile Duct Stones ◽  
Biliary Pancreatitis ◽  
Bile Duct Stones ◽  
Acute Biliary Pancreatitis ◽  
The Common

Background: Standard recommendations for patients recovering from an episode of biliary pancreatitis include cholecystectomy with intra operative cholangiogram or ERCP during the same hospital admission as it is believed that the instigating factor is the passage of stones through the common bile duct. As ERCP is not widely available and expensive, cholecystectomy with IOC is routinely performed to rule out choledocholithiasis. However detection of common bile duct stones is challenging. Whether these patients undergoing cholecystectomy require direct common bile duct evaluation is controversial.Objectives: To see the presence of common bile duct stones in patients with resolving acute mild biliary pancreatitis.Materials and Methods: Patients admitted in the surgical ward in Patan and Bir hospital with the diagnosis of mild acute biliary pancreatitis that underwent cholecystectomy with intra operative cholangiography from August 2010 to July 2011 were studied. The outcome of cholangiogram was analyzed together with findings of Common bile duct exploration.Result and Conclusion: A total of 52 patients with acute mild biliary pancreatitis were operated during this period. The Common bile duct stone was found in 1.9%. Out of four patients with abnormal cholangiogram, only one patient (25%) had stone on exploration, rest of the three cases (75%) had negative exploration. The presence of common bile duct stone in case of mild acute biliary pancreatitis undergoing cholecystectomy is very low (1.96%), and thus policy of selective IOC should be applied for cases with mild biliary pancreatitis.Bangladesh Journal of Medical Science Vol.15(4) 2016 p.517-521

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