The aim of the present study was to evaluate the effectiveness and long-term results of laparoscopic transcystic common bile duct exploration (TC-CBDE).
MethodsDuctal stones were present in 344 of 3212 patients (10.7%) who underwent laparoscopic cholecystectomy (LC). The procedure was completed laparoscopically in 329 patients (95.6%), with TC-CBDE performed in 191 patients (58.1%) who are the object of this study, or with a transverse choledochotomy in 138 cases (41.9%).
ResultsBiliary drainage was employed in 71 of 191 cases (37.2%). Major complications occurred in 10 patients (5.1%), including retained stones in 6 (3.1%). Mortality was nil. No patients were lost to follow-up (median: 118.0 months; range: 17.6–168 months). No signs of bile stasis, no recurrent ductal stones and no biliary stricture were observed. At present 182 patients are alive with no biliary symptoms; 9 have died from unrelated causes.
ConclusionsLong-term follow-up after laparoscopic TC-CBDE proved its effectiveness and safety for single-stage management of gallstones and common bile duct stones.
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Similar content being viewed by others Explore related subjectsDiscover the latest articles and news from researchers in related subjects, suggested using machine learning. ReferencesBorie F, Millat B (2003) Intraoperative cholangiography by laparoscopy. Why and how to do it? J Chir 140: 90–93
Collins C, Maguire D, Ireland A, Fitzgerald E, O’Sullivan G (2004) A prospective study of common bile duct calculi in patients undergoing laparoscopic cholecystectomy: natural history of choledocholithiasis revisited. Ann Surg 239: 28–33
Cuschieri A, Lezoche E, Morino M, Croce E, Lacy A, Toouli J, Faggioni A, Ribeiro VM, Jakimowicz J, Visa J, Hanna GB (1999) E.A.E.S. multicenter prospective randomized trial comparing two-stage vs single-stage managements of patients with gallstone disease and ductal calculi. Surg Endosc 13: 952–957
Decker G, Borie F, Millat B, Berthou JC, Deleuze A, Drouard F, Guillon F, Rodier JG, Fingerhut A (2003) One hundred laparoscopic choledochotomies with primary closure of the common bile duct. Surg Endosc 17: 12–18
Dorman JP, Franklin ME Jr, Glass JL (1998) Laparoscopic common bile duct exploration by choledochotomy. An effective and efficient method of treatment of choledocholithiasis. Surg Endosc 12: 926–928
Giurgiu DI, Margulies DR, Carroll BJ, Gabbay J, Iida A, Takagi S, Fallas MJ, Phillips EH (1999) Laparoscopic common bile duct exploration: long-term outcome. Arch Surg 134: 839–843
Halpin VJ, Dunnegan D, Soper NJ (2002) Laparoscopic intracorporeal ultrasound vs fluoroscopic intraoperative cholangiography. Surg Endosc 16:336–341
Lezoche E, Paganini AM (1995) Single-stage laparoscopic treatment of gallstones and common bile duct stones in 120 unselected, consecutive patients. Surg Endosc 9: 1070–1075
Macadam RCA, Goodall RJR (2004) Long-term symptoms following endoscopic sphincterotomy for common bile duct stones. Surg Endosc 18: 363–366
Machi J, Tateishi T, Oishi AJ, Furumoto NL, Oishi RH, Uchida S, Sigel B (1999) Laparoscopic ultrasonography versus operative cholangiography during laparoscopic cholecystectomy: review of the literature and a comparison with open intraoperative ultrasonography. J Am Coll Surg 188: 360–367
Millat B, Atger J, Deleuze A, Briandet H, Fingerhut A, Guillon F, Marrel E, De Seguin C, Soulier P (1997) Laparoscopic treatment for choledocholithiasis: a prospective evaluation in 247 consecutive unselected cases. Hepatogastroenterology 44: 28–34
NIH state-of-the-science statement on endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy (2002) NIH Consens State Sci Statements 19: 1–26
Paganini AM, Guerrieri M, Sarnari J, De Sanctis A, D’Ambrosio G, Lezoche G, Lezoche E (2005) Long-term results after laparoscopic transverse choledochotomy for common bile duct stones. Surg Endosc 19: 705–709
Petelin JB (2003) Laparoscopic common bile duct exploration. Surg Endosc 17: 1705–1715
Rhodes M, Sussman L, Cohen L, Lewis MP (1998) Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet 351: 159–161
Riciardi R, Islam S, Canete JJ, Arcand PL, Stoker ME (2003) Effectiveness and long-term results of laparoscopic common bile duct exploration. Surg Endosc 17: 19–22
Schreurs WH, Juttmann JR, Stuifbergen WN, Oostvogel HJ, van Vroonhoven TJ (2002) Management of common bile duct stones: selective retrograde cholangiography and endoscopic sphincterotomy: short- and long-term results. Surg Endosc 16: 1068–1072
Tranter SE, Thompson MH (2002) Comparison of endoscopic sphincterotomy and laparoscopic exploration of the common bile duct. Br J Surg 89: 1495–1504
Uchiyama K, Onishi H, Tani M, Kinoshita H, Kawai M, Ueno M, Yamaue H (2003) Long-term prognosis after treatment of patients with choledocholithiasis. Ann Surg 238: 97–102
Waage A, Stromberg C, Leijonmarck CE, Arvidsson D (2003) Long-term results from laparoscopic common bile duct exploration. Surg Endosc 17: 1181–1185
Clinica di Chirurgia Generale e Metodologia Chirurgica, Università Politecnica delle Marche, Azienda Ospedaliera Umberto I, Via Conca, 60020, Ancona, Italy
A. M. Paganini, M. Guerrieri, J. Sarnari, A. De Sanctis & S. Perretta
Department of General Surgery, Surgical Specialties and Organ Transplantation “Paride Stefanini,” Policlinico Umberto I, University of Rome “La Sapienza”, Viale del Policlinico, 00161, Rome, Italy
A. M. Paganini, G. D’Ambrosio, G. Lezoche & E. Lezoche
I.N.I. Canistro, Localita-Cotardo, Canistro, 67050, L’Aquila, Italy
E. Lezoche
Correspondence to S. Perretta.
About this article Cite this articlePaganini, A.M., Guerrieri, M., Sarnari, J. et al. Thirteen years’ experience with laparoscopic transcystic common bile duct exploration for stones. Surg Endosc 21, 34–40 (2007). https://doi.org/10.1007/s00464-005-0286-3
Received: 19 April 2005
Accepted: 03 April 2006
Published: 16 November 2006
Issue Date: January 2007
DOI: https://doi.org/10.1007/s00464-005-0286-3
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