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JSLS. 2010 Apr-Jun;14(2):246-50. doi: 10.4293/108680810X12785289144395.

Laparoscopic common bile duct exploration in patients with gallstones and choledocholithiasis.

Author information

1
Medicine Faculty, Central University of Venezuela, Caracas, Venezuela. dralexissanchez@hotmail.com

Abstract

OBJECTIVES:

To compare the effectiveness of laparoscopic common bile duct exploration in patients with failed endoscopic retrograde cholangiopancreatography (ERCP).

METHODS:

This is a descriptive, comparative study. Patients with an indication of common bile duct exploration between February 2005 and October 2008 were included. We studied 2 groups: Group A: patients with failed ERCP who underwent LCBDE plus LC. Group B: patients with common bile duct stones managed with the 1-step approach (LCBDE + LC) with no prior ERCP.

RESULTS:

Twenty-five patients were included. Group A: 9 patients, group B: 16 patients. Success rate, operative time, and hospital stay were as follows: group A 66% vs group B 87.5%; group A 187 minutes vs 106 minutes; group A 4.5 days vs 2.3 days; respectively.

CONCLUSION:

Patients with failed ERCP should be considered as high-complex cases in which the laparoscopic procedure success rate decreases, and the conversion rate increases considerably.

PMID:
20932377
PMCID:
PMC3043576
DOI:
10.4293/108680810X12785289144395
[Indexed for MEDLINE]
Free PMC Article

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