Document Detail

Laparoscopic choledochotomy for bile duct stones.
MedLine Citation:
PMID:  12140607     Owner:  NLM     Status:  MEDLINE    
In the era of laparoscopic surgery, treatment strategies for common bile duct stones remain controversial. Laparoscopic choledochotomy is usually indicated only when transcystic duct exploration is not feasible. However, laparoscopic choledochotomy provides complete access to the ductal system and has a higher clearance rate than the transcystic approach. In addition, primary closure of the choledochotomy with a running suture and absorbable clips facilitates the procedure. Therefore, to avoid postoperative biliary stenosis, all patients with bile duct stones can be indicated for choledochotomy, except for those with nondilated common bile duct. Placement of a C-tube also provides access for the clearance of possible retained stones by endoscopic sphincterotomy as a backup procedure. C-tube placement, in contrast to T-tube insertion, is advantageous in terms of a relatively short hospital stay. In conclusion, laparoscopic choledochotomy with C-tube drainage is recommended as the treatment of choice for patients with common bile duct stones.
Shuji Shimizu; Kazunori Yokohata; Kazuhiro Mizumoto; Koji Yamaguchi; Kazuo Chijiiwa; Masao Tanaka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  9     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2002  
Date Detail:
Created Date:  2002-07-25     Completed Date:  2002-09-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  201-5     Citation Subset:  IM    
Department of Endoscopic Diagnostics and Therapeutics, Kyushu University Faculty of Medicine, Fukuoka 812-8582, Japan.
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MeSH Terms
Biliary Tract Surgical Procedures / methods*
Drainage / methods
Gallstones / diagnosis,  surgery*
Laparoscopy / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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