Antegrade common bile duct (CBD) stenting after laparoscopic CBD exploration

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Antegrade common bile duct (CBD) stenting after laparoscopic CBD exploration

UNLABELLED Laparoscopic common bile duct exploration (LCBDE) has been found to be a safe, efficient and cost-effective treatment for choledocholithiasis. Following LCBDE, the clearance may be ascertained by a cholangiogram or choledochoscopy. The common bile duct (CBD) may be closed primarily with or without a stent in situ or may be drained by means of a T-tube or a biliary enteric anastomosis...

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Comparison of Bile Drainage Methods after Laparoscopic CBD Exploration

PURPOSE T-tube is a major procedure that prevents complication by biliary decompression, but which is accompanied by complications. Therefore, several procedures such as ENBD, PTBD, and antegrade biliary stent have been attempted, but with controversies as to which procedure is superior. Also, there are no standard procedures after laparoscopic CBD exploration. We performed this study to ascert...

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Guidelines for Laparoscopic CBD Exploration

Since the 1992 National Institutes of Health Consensus Development Conference Statement on Gallstones and Laparoscopic Cholecystectomy the indications for laparoscopic operations on the gallbladder and biliary tree have not changed; they remain similar to the indications for open surgery with relative and absolute contraindications as noted below. As stated in the NIH report “a patient with sum...

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Laparoscopic common bile duct exploration and antegrade biliary stenting: leaving behind the Kehr tube.

INTRODUCTION single-stage laparoscopic surgery of cholelithiasis and associated common bile duct stones (CL-CBDS) has shown similar results when compared to laparoscopic cholecystectomy combined with ERCP. Classically, choledochorrhaphy has been protected by a T-tube drain to allow external bypass of bile flow. However, its removal is associated with a significant complication rate. Use of ante...

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Stenting before laparoscopic common bile duct exploration: a helpful strategy.

We describe a 43-year-old man who had a difficult endoscopic retrograde cholangiopancreatography, allowing only placement of a stent without removal of the common bile duct stone. He subsequently underwent laparoscopic cholecystectomy with laparoscopic common bile duct exploration and primary closure after laparoscopic choledochotomy.

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ژورنال

عنوان ژورنال: Journal of Minimal Access Surgery

سال: 2007

ISSN: 0972-9941

DOI: 10.4103/0972-9941.30682