Stenting before laparoscopic common bile duct exploration: a helpful strategy.
نویسندگان
چکیده
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.
منابع مشابه
Transient increase in the common bile duct diameter after laparoscopic and open cholecystectomy
Introduction: Increase in the common bile duct diameter after cholecystectomy has been reported in animal model. However, similar studies in the human resulted in controversy. Methods: Between 2008 and 2012, fifty two patients with clinical as well as radiological signs and symptoms of gallbladder disease were enrolled in this study. The patients underwent laparoscopic and open cholecystectomy ...
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BACKGROUND AND OBJECTIVES Laparoscopy in patients with poor cardiac function has been the subject of controversy and is considered by many surgeons a relative contraindication. METHODS We report the case of a patient who presented with acute cholecystitis and choledocholithiasis concurrent with unstable angina. Our experience in laparoscopic management of patients with calculous biliary disea...
متن کاملLaparoscopic Management of Common Bile Duct Stones: Transpapillary Stenting or External Biliary Drainage?
BACKGROUND To date, the management of common bile duct stones (CBDs) is still controversial. If laparoscopic exploration is performed and biliary decompression is needed after stone removal, the placement of a laparoscopic transpapillary stent shows promising results in avoiding T-tube-related complications. METHODS Between January 2007 and May 2012, a series of 48 patients who underwent bili...
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BACKGROUND Laparoscopic exploration of the common bile duct is becoming more popular, although endoscopic sphincterotomy remains the usual treatment for bile duct stones. However, loss of the biliary sphincter causes permanent duodenobiliary reflux, and recurrent stone disease and biliary neoplasia may be a consequence. METHODS A systematic literature review was conducted to compare laparosco...
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ورودعنوان ژورنال:
- Singapore medical journal
دوره 48 8 شماره
صفحات -
تاریخ انتشار 2007