Laparoscopic CBD Exploration

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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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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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Laparoscopic CBD exploration using a V-shaped choledochotomy

BACKGROUND Laparoscopic common bile duct exploration (LCBDE) is a treatment modality for choledocholithiasis. The advantages of this technique are that it is less invasive than conventional open surgery and it permits single-stage management; however, other technical difficulties limit its use. The aim of this article is to introduce our novel technique for LCBDE, which may overcome some of the...

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Comparison of Primary Closure and T-tube Drainage following Laparoscopic CBD Exploration

Purpose: Laparoscopic common bile duct exploration (LCBDE) has traditionally been accompanied by T-tube drainage. However, patients must carry it for several weeks and often suffer problems related to the T-tube. So, primary closure of CBD has been proposed as a safe and effective alternative to T-tube placement after laparoscopic choledochotomy. The aim of this study was to compare primary clo...

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ژورنال

عنوان ژورنال: Indian Journal of Surgery

سال: 2010

ISSN: 0972-2068,0973-9793

DOI: 10.1007/s12262-010-0157-6