Laparoscopic Common Bile Duct Exploration By Choledochotomy
Choledocholithiasis uncomplicated by acute ascending cholangitis is being treated by a two step approach involving two separate teams of specialized care resulting in more expense and potentiating possible complications. Laparoscopic common bile duct exploration by choledochotomy is a capable means...
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| Published in | Seminars in laparoscopic surgery Vol. 4; no. 1; p. 34 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
01.03.1997
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| Online Access | Get more information |
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| Summary: | Choledocholithiasis uncomplicated by acute ascending cholangitis is being treated by a two step approach involving two separate teams of specialized care resulting in more expense and potentiating possible complications. Laparoscopic common bile duct exploration by choledochotomy is a capable means of managing this problem in a one step fashion. The experience with 137 patients has resulted in a 94.1% success rate in technically clearing the common bile duct with a 2.2% retained stone rate all of which were removed by postoperative endoscopic retrograde cholangio pancreatography. Conversion to open procedure was in five patients (3.6%). Laparoscopic common bile duct exploration by choledochotomy depends on routine intraoperative fluorocholangiography (99.7% successful) and is especially useful with proximal stones or multiple, large stones. |
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| ISSN: | 1071-5517 |
| DOI: | 10.1177/155335069700400106 |