Simultaneous common bile duct clearance and laparoscopic cholecystectomy: experience of a one-stage approach.
Adult
Aged
Cholangiopancreatography, Endoscopic Retrograde
/ methods
Cholecystectomy, Laparoscopic
/ adverse effects
Cholecystitis
/ diagnostic imaging
Common Bile Duct
/ diagnostic imaging
Female
Humans
Length of Stay
/ statistics & numerical data
Male
Middle Aged
Pancreatitis
/ diagnostic imaging
Postoperative Complications
/ diagnostic imaging
Retrospective Studies
Treatment Outcome
ERCP
Laparoscopic cholecystectomy
One-stage approach
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
10
11
2017
accepted:
02
02
2018
pubmed:
9
2
2018
medline:
24
9
2019
entrez:
9
2
2018
Statut:
ppublish
Résumé
The timing and optimal method for common bile duct (CBD) clearance and laparoscopic cholecystectomy remains controversial. Several different approaches are available in clinical practice. The current study presents the experience of two European hospitals of simultaneous laparoscopic cholecystectomy (LC) and intra-operative endoscopic retrograde cholangiopacreatography (IO-ERCP) done by surgeons. Retrospective analysis of all consecutive patients subjected to LC + IO-ERCP during their index admission between 4/2014 and 9/2016. Data accrued included patient demographics, laboratory markers, operation time (min) reported as mean (± SD) and hospital length of stay (LOS) reported as median (lower quartile, upper quartile). During the 29-month study, a total of 201 consecutive LC + IO-ERCPs were performed. The mean age of patients was 55 ± 19 years and 67% were female. The mean intervention time was 105 ± 44 min. The total LOS was 4 (3, 7) days and the post-operative LOS was 2 (1, 3) days. A total of 6 (3%) patients experienced post-interventional pancreatitis and two (1%) patients suffered a Strasberg type A bile leak. All patients were successfully discharged. Simultaneous LC + IO-ERCP is associated with few complications. Further studies investigating cost-benefit and patient satisfaction are warranted.
Identifiants
pubmed: 29417182
doi: 10.1007/s00068-018-0921-z
pii: 10.1007/s00068-018-0921-z
pmc: PMC6450829
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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