Difficult common bile duct stones

• Published in: Revista argentina de cirugía Vol. 113; no. 3; pp. 353 - 358
• Main Authors: Canullán, Carlos M., Petracchi, Enrique J., Baglietto, Nicolás, Zandalazini, Hugo I., Quesada, Bernabé M., Merchán del Hierro, Pablo, Ocampo, Carlos
• Format: Journal Article
• Language: English
• Published: 01.09.2021
• ISSN: 0048-7600; 2250-639X
• DOI: 10.25132/raac.v113.n3.1553.ei

Background: Single-stage procedure for the treatment of choledocholithiasis by laparoscopy is associated with high success rate in most cases. Difficult common bile duct stones are an exception to this rule. Objective: The aim of this study is to describe the results obtained with the management of difficult common bile duct stones. Material and methods: We conducted a retrospective review of a consecutive series of cases of difficult common bile duct stones treated between 2018-2020. Results: Eight patients fulfilled the inclusion criteria. Of the 5 patients managed with single-stage approach through video-assisted laparoscopy, 60% required conversion to open surgery. The other 3 cases were initially managed with endoscopic cholangiography due to severe cholangitis and were solved with elective transcystic instrumentation. Conclusion: This initial experience suggests that the two-stage approach could be better to treat difficult common bile duct stones with a minimally invasive approach.