Erschienen in:
01.09.2008 | original article
Laparoscopic Bile Duct Reexploration for Retained Duct Stones
verfasst von:
L. T. Chiappetta Porras, E. D. Nápoli, C. M. Canullán, B. M. Quesada, J. E. Petracchi, A. S. Oría
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 9/2008
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Abstract
Background
Failure of endoscopic sphincterotomy (ES) for retained bile duct stones occurs in 4% to 10% of cases and was traditionally managed with open bile duct reexploration.
Methods
This study uses retrospective analysis of a consecutive series of cases of laparoscopic bile duct reexploration for retained bile duct stones after unsuccessful ES.
Results
Thirty-one cases were operated over a 7-year period. Seventy percent had a previous open cholecystectomy. Ten cases were successfully treated with a transcystic approach and 19 with laparoscopic choledochotomy. Two patients were converted to open surgery. Morbidity was 3.22% with no mortality.
Conclusion
Laparoscopic bile duct reexploration can be safely performed and should be considered as an alternative to open surgery.