scholarly journals Innovation of endoscopic management in difficult common bile duct stone in the era of laparoscopic surgery

2021 ◽  
Vol 13 (7) ◽  
pp. 198-209
Author(s):  
Cosmas Rinaldi Adithya Lesmana ◽  
Maria Satya Paramitha ◽  
Laurentius Adrianto Lesmana
Keyword(s):  
Laparoscopic Surgery ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Endoscopic Management

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 Endoscopic management of a difficult common bile duct stone

2008 ◽  
Vol 53 (3) ◽  
pp. 105 ◽  
Author(s):  
CAH Liyanage ◽  
Y Sadakari ◽  
J Lenaga ◽  
R Tanabe ◽  
S Takahata ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Endoscopic Management

scholarly journals STUDY ON THE LAPAROSCOPIC TREATMENT OF COMMON BILE DUCT STONE

1997 ◽  
Vol 58 (11) ◽  
pp. 2512-2515
Author(s):  
Hiroshi HASEGAWA ◽  
Seiji OGISO ◽  
Hideki NISHIO ◽  
Tohru MURATA ◽  
Tomotaka KAMEI ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stone ◽  
Bile Duct Stone ◽  
Laparoscopic Treatment
Sign in / Sign up

Export Citation Format

Share Document