scholarly journals One-stage lapro-endoscopic procedure in the management of concomitant gallbladder and common bile duct stones: institutional experience

2019 ◽  
Vol 6 (5) ◽  
pp. 1447
Author(s):  
Ahmed M. Abdelaziz Hassan ◽  
Ayman M. Abdelaziz ◽  
Mohamed Emad Esmat ◽  
Hussam Hamdy ◽  
Magdy M. Elsebae
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Operating Time ◽  
Common Bile Duct Stones ◽  
Biliary Duct ◽  
Bile Duct Stones ◽  
Stone Clearance ◽  
One Stage ◽  
Cbd Stone

Background: Still there is no standard technique for managing patients with concomitant gallbladder (GB) and common bile duct stones (CBDS). In this work, we report our experience of the management for gallstone disease and biliary duct calculi as a single stage treatment.Methods: Forty Patients with symptomatic gall bladder calcular disease and suspected CBDS were enrolled in the study. The outcome measures were operating time, CBD stone clearance, postoperative morbidity and mortality, the need to conversion to other techniques and hospital stay.Results: They were 13 males and 27 females of median age 43 years old. Intra opertative cholangiography (IOC) revealed single CBD stone in twenty-eight, two stones in eleven and three stones in only one of the patients. The mean operating time had been 175 min. There were no intraoperative complications with a mean hospital stay was 1.8 days (range, 1-4 days).Conclusions: One-stage lapro-endoscopic procedure in the management for gallstone disease and biliary duct calculi is safe and efficient in CBD stone clearance. It is preferred when facilities and experience in endoscopic therapy exist.

The role of 99mTc mebrofenin hepatobiliary scanning in predicting common bile duct stones in patients with gallstone disease

2004 ◽  
Vol 25 (3) ◽  
pp. 285-289 ◽  
Author(s):  
Mohammed Iqbal ◽  
Sandeep Aggarwal ◽  
Rakesh Kumar ◽  
Pramod Kumar Garg ◽  
Suman Bandhu ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones

Safety and efficacy of one-stage total laparoscopic treatment of common bile duct stones in children

2014 ◽  
Vol 29 (7) ◽  
pp. 1831-1836 ◽  
Author(s):  
C. O. Muller ◽  
M. B. Boimond ◽  
A. Rega ◽  
D. Michelet ◽  
A. El Ghoneimi ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Laparoscopic Treatment ◽  
Safety And Efficacy ◽  
One Stage

scholarly journals CLINICAL EFFICIENCY OF OPEN AND ENDOSCOPIC INTERVENTIONS WITH OBSTACLES OF THE TERMINAL DEPARTMENT OF CHOLEDOCH IN PATIENTS WITH GALLSTONE DISEASE OF ELDERLY AND SENILE AGE

2021 ◽  
pp. 43-47
Author(s):  
D. Riazanov ◽  
Yu. Mikheiev ◽  
O. Shpylenko
Keyword(s):  
Bile Duct ◽  
Postoperative Complications ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Postoperative Mortality ◽  
Common Bile Duct Stones ◽  
Endoscopic Management ◽  
Bile Duct Stones ◽  
The Common ◽  
Terminal Section

Summary. Purpose. To optimize the tactics of endoscopic interventions for cholelithiasis complicated by obstruction of the terminal portion of the common bile duct to reduce the incidence of postoperative complications and mortality in elderly and senile people. Materials and methods. The results of examination and treatment of 221 elderly and senile patients with cholelithiasis complicated by obstruction of the terminal section of the common bile duct were analyzed. Results. Using of existing methods and proposed new methods of endoscopic management of cholelithiasis complicated by obstruction of the terminal section of the common bile duct allow to reliably reduce the incidence of postoperative complications in elderly and senile patients from 19.8 to 9.5%, postoperative mortality from 10.3 to 2.9% Conclusions. In elderly and senile patients with obstruction of the terminal section of the common bile duct and common bile duct stones who bear high operational risk, endoscopic papillosphincterotomy with stone removal is a sufficient method of treatment. In case of unremovable common bile duct stones, endoscopic papillosphincterotomy and stenting allow to avoid revision of the common bile duct, and in high-risk patients those methods allow to refrain from open surgery.

One-stage laparoscopic procedure versus two-stage procedure in the management of common bile duct stones in patients aged 75 and more

2020 ◽  
Vol 157 (2) ◽  
pp. 99-106
Author(s):  
D. Gantois ◽  
Y. Goudard ◽  
S. Bourgouin ◽  
G. Pauleau ◽  
B. de La Villéon ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Laparoscopic Procedure ◽  
Bile Duct Stones ◽  
Two Stage ◽  
One Stage

scholarly journals Post-ERCP Dormia basket impaction: a case report and literature review

2021 ◽  
Vol 8 (12) ◽  
pp. 3692
Author(s):  
Alaaeldin Mohamed Sedik ◽  
Abrar Hussein ◽  
Abdelmajid Alshimary ◽  
Mostafa Elsayed ◽  
Ahmed Alzayed ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Stone Extraction ◽  
Endoscopic Retrograde ◽  
Dormia Basket ◽  
Life Threatening ◽  
Cbd Stone

The incidence of Common bile duct stones (CBD) in patients undergoing cholecystectomy is 10%. The present-day management of common bile duct stone may be pre-, intra-, or post-operative Endoscopic retrograde cholangio-pancreatography (ERCP) with stone extraction. The reported complications of ERCP and CBD stone extraction range from 5 to 10% cases, that might be life threatening. Herein, we reported a case of calculus obstructive jaundice and cholangitis. Unfortunately, trials for ERCP and stone retrieval was followed by impacted Dormia basket which was successfully managed by surgerys.

One-stage versus Two-stage Management for Concomitant Gallbladder Stones and Common Bile Duct Stones in Patients with Obstructive Jaundice

2013 ◽  
Vol 79 (11) ◽  
pp. 1142-1148 ◽  
Author(s):  
Jiong Lu ◽  
Xian-Ze Xiong ◽  
Yao Cheng ◽  
Yi-Xin Lin ◽  
Rong-Xing Zhou ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Stage Management ◽  
Two Stage ◽  
Conversion To Open Surgery ◽  
One Stage ◽  
Gallbladder Stones

No consensus exists regarding the optimal management of concomitant gallbladder stones and common bile duct stones (CBDS). Previous studies showed a significant association between the presence of obstructive jaundice and increased risk of postoperative complications and conversion to open surgery. This retrospective study evaluated the effectiveness and safety of one-stage (laparoscopic cholecystectomy [LC] plus laparoscopic common bile duct exploration) management versus two-stage (preoperative endoscopic retrograde cholangiopancreatography/endoscopic sphincterotomy 1 LC) management for patients with obstructive jaundice, concomitant gallbladder stones, and CBDS. One-stage management (n = 88) or two-stage management (n = 122) was used for 210 eligible patients between January 2009 and March 2011. Both types of management proved to be effective and safe. No significant difference was observed in terms of stone clearance from the common bile duct (CBD), postoperative morbidity, mortality, or conversion to open surgery. However, one-stage management was more cost-effective and decreased the number of procedures. In addition, postoperative hospital stay and operative time were shorter for patients who received one-stage management. Especially for patients with CBD greater than 1 cm in diameter, one-stage management is a better choice.

Preoperative Evaluation of Common Bile Duct Stones in Patients with Gallstone Disease

2005 ◽  
Vol 184 (6) ◽  
pp. 1854-1859 ◽  
Author(s):  
Young-Jin Kim ◽  
Myeong Jin Kim ◽  
Ki Whang Kim ◽  
Jae Book Chung ◽  
Woo Jung Lee ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Preoperative Evaluation ◽  
Gallstone Disease ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones

scholarly journals Appropriate Patient Selection in the Management of Common Bile Duct Stones: When Not to Do ERCP

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Palak Jitendrakumar Trivedi ◽  
Donald Tse ◽  
Ibrahim Al-Bakir ◽  
Horace D'Costa
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Gallstone Disease ◽  
Strong Association ◽  
Common Bile Duct Stones ◽  
Normal Liver ◽  
High Risk Group ◽  
Bile Duct Stones

Background. Magnetic resonance cholangiopancreatography (MRCP) is noninvasive and accurate for diagnosing intra common bile duct stones (ICSs). However, given limited access, routine utilisation for investigating all patients with gallstone disease is neither practical nor cost-effective. Conversely, many individuals proceed directly to endoscopic retrograde cholangiopancreatography (ERCP), an invasive test with appreciable complications. Aim. Identify factors associated with ICS in order to improve risk-stratification for MRCP/ERCP. Methods. All patients having undergone cholecystectomy between November 2007 and October 2008 were reviewed. High-risk features for ICS were predefined, and their true presence confirmed by ERCP or intraoperative cholangiogram. Multivariate logistic regression was performed on candidate risk features. Results. Of 231 patients, 10.4% had ICS. Defining a high-risk group with “both” biochemical and ultrasound risk factors predicted ICS with 92% specificity and also bore strong association (OR 8.88). However, isolated hyperbilirubinaemia, ultrasound impression of CBD stones, and clinical risk factors did not (OR 1.10, 0.97, and 1.26). Normal liver biochemistry and normal ultrasound had a NPV of 99.5% for ICS. Conclusions. Ultrasound impression of CBD calculi without ductal dilatation is not predictive of ICS. Patients with normal liver biochemistry and normal CBD diameter on ultrasound are unlikely to have ICS and should not proceed to ERCP.

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