The efficacy and safety of laparoscopic common bile duct exploration and cholecystectomy for the treatment of difficult common bile duct stones combined with gallstones: a multicenter retrospective study

被引：15

作者：

Xie, Wangcheng ^{[1
]}

Ma, Zhilong ^{[2
,3
]}

Zuo, Jieliang ^{[1
]}

Gong, Jian ^{[1
]}

Yu, Weidi ^{[1
]}

Wang, Ping ^{[4
]}

Han, Wei ^{[5
]}

Song, Zhenshun ^{[1
]}

Yang, Tingsong ^{[1
]}

机构：

[1] Tongji Univ, Shanghai Peoples Hosp 10, Dept Gen Surg, Sch Med, Shanghai, Peoples R China

[2] Shanghai Jiao Tong Univ, Tongren Hosp, Dept Gen Surg, Sch Med, Shanghai, Peoples R China

[3] Fudan Univ, Dept Pancreat Surg, Shanghai Canc Ctr, Shanghai, Peoples R China

[4] Taizhou Fourth Peoples Hosp, Dept Gen Surg, Taizhou, Peoples R China

[5] Tongji Univ, Shanghai Peoples Hosp 10, Dept Gastroenterol, Sch Med, Shanghai, Peoples R China

来源：

LANGENBECKS ARCHIVES OF SURGERY | 2023年 / 408卷 / 01期

关键词：

Common bile duct stones; Endoscopic retrograde cholangiopancreatography; Endoscopic sphincterotomy; Gallstones; Laparoscopic cholecystectomy; Laparoscopic common bile duct exploration; CONCOMITANT GALLBLADDER STONES; CLINICAL-PRACTICE GUIDELINES; BALLOON DILATION; RISK-FACTORS; MANAGEMENT; OUTCOMES; STAGE;

D O I：

10.1007/s00423-023-02923-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

PurposeTo analyze the benefits of laparoscopic common bile duct exploration and laparoscopic cholecystectomy (LCBDE + LC) versus endoscopic retrograde cholangiopancreatography and/or endoscopic sphincterotomy following laparoscopic cholecystectomy (ERCP/EST + LC) for difficult common bile duct stones combined with gallstones.MethodsA retrospective analysis of consecutive patients with difficult common bile duct stones combined with gallstones in three hospitals from January 2016 to January 2021 was performed.ResultsERCP/EST + LC contributed to reducing postoperative drainage time. However, LCBDE + LC showed a higher rate of complete clearance, along with lower postoperative hospital stays, expenses and incidence of postoperative hyperamylasemia, pancreatitis, re-operation and recurrence. In addition, LCBDE + LC showed safe and feasible performance in the elderly and patients with previous upper abdominal surgery.ConclusionIt is an effective and safe method for LCBDE + LC for difficult common bile duct stones combined with gallstones.

引用

页数：9

共 35 条

[1] Impact of choledochotomy techniques during laparoscopic CBD exploration on short- and long-term clinical outcomes: Time to change concepts (a retrospective cohort study) [J].

Ahmed, Emad Ali ;

Redwan, Alaa Ahmed .

INTERNATIONAL JOURNAL OF SURGERY, 2020, 83 :102-106

[2] Large-diameter biliary orifice balloon dilation to aid in endoscopic bile duct stone removal: a multicenter series [J].

Attasaranya, Siriboon ;

Cheon, Young Koog ;

Vittal, Harsha ;

Howell, Douglas A. ;

Wakelin, Donald E. ;

Cunningham, John T. ;

Ajmere, Niraj ;

Marie, Ronald W. Ste, Jr. ;

Bhattacharya, Kanishka ;

Gupta, Kapil ;

Freeman, Martin L. ;

Sherman, Stuart ;

McHenry, Lee ;

Watkins, James L. ;

Fogel, Evan L. ;

Schmidt, Suzette ;

Lehman, Glen A. .

GASTROINTESTINAL ENDOSCOPY, 2008, 67 (07) :1046-1052

[3] Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial [J].

Bansal, Virinder Kumar ;

Misra, Mahesh C. ;

Rajan, Karthik ;

Kilambi, Ragini ;

Kumar, Subodh ;

Krishna, Asuri ;

Kumar, Atin ;

Pandav, Chandrakant S. ;

Subramaniam, Rajeshwari ;

Arora, M. K. ;

Garg, Pramod Kumar .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2014, 28 (03) :875-885

[4] Risk factors for post-ERCP cholecystitis: a single-center retrospective study [J].

Cao, Jun ;

Peng, Chunyan ;

Ding, Xiwei ;

Shen, Yonghua ;

Wu, Han ;

Zheng, Ruhua ;

Wang, Lei ;

Zou, Xiaoping .

BMC GASTROENTEROLOGY, 2018, 18

[5]

Costantini R, 2012, ANN ITAL CHIR, V83, P245

[6] Prevalence and Factors Associated with Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis in Children [J].

Deng, Zhaohui ;

Zeng, Jingqing ;

Lv, Chan ;

Jiang, Lirong ;

Ji, Jianmei ;

Li, Xingjia ;

Hao, Lixiao ;

Gong, Biao .

DIGESTIVE DISEASES AND SCIENCES, 2021, 66 (01) :224-230

[7] Complex biliary stones management: cholangioscopy versus papillary large balloon dilation - a randomized controlled trial [J].

Franzini, Tomazo ;

Moura, Renata Nobre ;

Bonifacio, Priscilla ;

Luz, Gustavo Oliveira ;

de Souza, Thiago Ferreira ;

Lera dos Santos, Marcos Eduardo ;

Rodela, Gustavo Luis ;

Ide, Edson ;

Herman, Paulo ;

Montagnini, Andre Luis ;

Carneiro D'Albuquerque, Luiz Augusto ;

Sakai, Paulo ;

Hourneaux de Moura, Eduardo Guimaraes .

ENDOSCOPY INTERNATIONAL OPEN, 2018, 6 (02) :E131-E138

[8] Endoscopic papillary large balloon dilation and endoscopic papillary balloon dilation both without sphincterotomy for removal of large bile duct stones: A propensity-matched analysis [J].

Hakuta, Ryunosuke ;

Kawahata, Shuhei ;

Kogure, Hirofumi ;

Nakai, Yousuke ;

Saito, Kei ;

Saito, Tomotaka ;

Hamada, Tsuyoshi ;

Takahara, Naminatsu ;

Uchino, Rie ;

Mizuno, Suguru ;

Tsujino, Takeshi ;

Tada, Minoru ;

Sakamoto, Naoya ;

Isayama, Hiroyuki ;

Koike, Kazuhiko .

DIGESTIVE ENDOSCOPY, 2019, 31 (01) :59-68

[9] Five hundred consecutive laparoscopic common bile duct explorations: 5-year experience at a single institution [J].

Hua, Jie ;

Meng, Hongbo ;

Yao, Le ;

Gong, Jian ;

Xu, Bin ;

Yang, Tingsong ;

Sun, Wei ;

Wang, Yuxiang ;

Mao, Yukan ;

Zhang, Ti ;

Zhou, Bo ;

Song, Zhenshun .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (09) :3581-3589

[10] Interventional endoscopic ultrasonography in patients with surgically altered anatomy: Techniques and literature review [J].

Katanuma, Akio ;

Hayashi, Tusyoshi ;

Kin, Toshifumi ;

Toyonaga, Haruka ;

Honta, Shunsuke ;

Chikugo, Kouki ;

Ueki, Hidetaro ;

Ishii, Tastuya ;

Takahashi, Kuniyuki .

DIGESTIVE ENDOSCOPY, 2020, 32 (02) :263-274

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