A RetroSearch Logo

Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Search Query:

Showing content from https://link.springer.com/doi/10.1007/BF00188989 below:

Single-stage laparoscopic treatment of gallstones and common bile duct stones in 120 unselected, consecutive patients

Abstract

Feasibility, success rate, safety, and shortterm results of single-stage, laparoscopic, transcystic—whenever possible—or choledochotomic treatment of gallstones and common bile duct (CBD) stones were evaluated in 120 unselected patients.

Of 1095 patients who underwent laparoscopic cholecystectomy, 120 had ductal stones; among those patients, stones were suspected or proven in 72, 27 of whom were referred after failed endoscopic sphincterotomy (ES) performed elsewhere; unsuspected CBD stones were discovered in 48.

The procedure was successful in 116 patients. Four patients required conversion to open surgery. The transcystic access was feasible in 77 patients; a choledochotomy was required in 39. Incidence of retained CBD stones was 4.3%. Minor complications, major complications, and mortality were observed in 6.8%, 1.7%, and 0.8% of patients, respectively.

Single-stage laparoscopic treatment of gallstones and CBD stones in unselected patients is safe and feasible in the majority of cases, with success rates and short-term results that are not inferior to reported results of ERCP/ES and cholecystectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article Subscribe and save

Springer+ Basic

€34.99 /Month

Subscribe now Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others Explore related subjectsDiscover the latest articles and news from researchers in related subjects, suggested using machine learning. References
  1. Cetta F (1993) Do surgical and endoscopic sphincterotomy prevent or facilitate recurrent common duct stone formation? Arch Surg 128: 329

    Google Scholar 

  2. Cotton PB (1993) Endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy. Am J Surg 165: 474–478

    Google Scholar 

  3. Cotton PB, Geenen J, Sherman S, et al. (1994) Sphincterotomy for stones is safer than advertised, even in young patients with small ducts. A multicenter prospective study. Gastrointest Endosc 40: 104 A360

    Google Scholar 

  4. Fletcher DR (1994) Changes in the practice of biliary surgery and ERCP during the introduction of laparoscopic cholecystectomy to Australia: their possible significance. Aust N Z J Surg 64: 75–80

    Google Scholar 

  5. Greiner L, Munks C, Heil W, Jakobeit C (1990) Gallbladder stone fragments in feces after biliary extracorporeal shock-wave lithotripsy. Gastroenterology 98: 1620

    Google Scholar 

  6. Leuschner U, Seifert E (1991) The role of endoscopy in the treatment of gallstones. In: Speranza V, Barbara L (eds) Changing concepts in biliary stone management. Nyhus LM (ed) Problems in general surgery. JB Lippincott, Philadelphia, pp 617–627

    Google Scholar 

  7. Lezoche E, Paganini A, Feliciotti F, Chan R (1993) Laparoscopic suture technique after common bile duct exploration. Surg Laparosc Endosc 3: 209

    Google Scholar 

  8. Lezoche E, Paganini A, Carle F (1993) Routine versus selective intra-operative cholangiography during laparoscopic cholecystectomy. Letter to the editor. World J Surg 17: 686

    Google Scholar 

  9. Lezoche E, Paganini A, Guerrieri M, Carlei F, Lomanto D, Sottili M, Nardovino M (1994) Technique and results of routine dynamic cholangiography during 528 consecutive laparoscopic cholecystectomies. Surg Endosc 8: 1443–1447

    Google Scholar 

  10. Lezoche E, Paganini A, Guerrieri M (1995) A new T-tube applier in laparoscopic surgery. Surg Endosc (in press)

  11. Miller BM, Kozarek RA, Ryan JA, Ball TJ, Traverso LV (1988) Surgical versus endoscopic management of common bile duct stones. Ann Surg 207: 135

    Google Scholar 

  12. Neoptolemos JP, Carr-Locke DL, Fossard DP (1987) Prospective randomised study of preoperative endoscopic sphincterotomy versus surgery alone for common bile duct stones. Br Med J 294: 470

    Google Scholar 

  13. Phillips EH, Rosenthal RJ, Carroll BJ, Fallas MJ (1994) Laparoscopic trans-cystic-duct common-bile-duct exploration. Surg Endosc 8: 1389–1394

    Google Scholar 

  14. Stain SC, Cohen H, Tsuishoysha M, Donovan AJ (1991) Choledocholithiasis. Endoscopic sphincterotomy or common bile duct exploration. Ann Surg 213: 627

    Google Scholar 

  15. Stiegmann GV, Goff JS, Mansour A, Pearlman N, Reveille RM, Norton L (1992) Precholecystectomy endoscopic cholangiography and stone removal is not superior to cholecystectomy, cholangiography and common duct exploration. Am J Surg 163: 227

    Google Scholar 

Download references

Author information Authors and Affiliations
  1. Cattedra di Chirurgia Generale I, Istituto di Patologia Chirurgica, Università di Ancona, c/o Ospedale Umberto I°, Piazza Cappelli 1, 60121, Ancona, Italy

    E. Lezoche & A. M. Paganini

Authors
  1. E. Lezoche
  2. A. M. Paganini
About this article Cite this article

Lezoche, E., Paganini, A.M. Single-stage laparoscopic treatment of gallstones and common bile duct stones in 120 unselected, consecutive patients. Surg Endosc 9, 1070–1075 (1995). https://doi.org/10.1007/BF00188989

Download citation

Key words

RetroSearch is an open source project built by @garambo | Open a GitHub Issue

Search and Browse the WWW like it's 1997 | Search results from DuckDuckGo

HTML: 3.2 | Encoding: UTF-8 | Version: 0.7.4