@article{ae87dcb30b384f24986d8ff2cc20e02a,
title = "Laparoscopic common bile duct exploration in patients with complicated cholecystitis: A safety and feasibility study",
abstract = "Background Laparoscopic cholecystectomy (LC) with common bile duct exploration (LCBDE) is nowadays a preferred one-stage treatment. However, the influence of complicated cholecystitis (CC) on LCBDE has rarely been addressed. In the present study we aimed to verify whether severe gallbladder inflammation would adversely affect the outcome of LCBDE. Material and methods From 2008 to 2011, all patients undergoing LC and LCBDE at China Medical University Hospital were included. Patients were divided into two groups based on the severity of cholecystitis. Those with unstable hemodynamics and co-morbidities who were deemed unfit for general anesthesia were excluded. Patient demographics, surgical results, and outcome were compared between the groups. Results During the study period, 117 patients diagnosed with cholecystitis were found to have common bile duct (CBD) stones and underwent LC + LCBDE. Of these 117 patients, 87 had uncomplicated cholecystitis (UC) and the remaining 30 patients had CC. There was no demographic difference between the groups, but for patients with CC there were marginally longer operative times (190 vs. 223 min, p = 0.141), more blood loss (10 vs. 150 ml, p",
keywords = "aged, article, cholecystectomy, cholecystitis, common bile duct, feasibility study, female, human, male, retrospective study, severity of illness index, Aged, Cholecystectomy, Laparoscopic, Cholecystitis, Common Bile Duct, Feasibility Studies, Female, Humans, Male, Retrospective Studies, Severity of Illness Index",
author = "Hung-Chieh Lo and Yu-Chun Wang and Jui-Chien Huang and Cheng-Hsiung Hsu and Shih-Chi Wu and Chi-Hsun Hsieh",
note = "被引用次數：3 Export Date: 24 March 2016 CODEN: WJSUD 通訊地址: Lo, H.-C.; Department of Trauma and Emergency Surgery, China Medical University Hospital, Taichung 404, Taiwan; 電子郵件： carfishcat@yahoo.com.tw 參考文獻: Eldar, S., Sabo, E., Nash, E., Laparoscopic cholecystectomy for acute cholecystitis: Prospective trial (1997) World J Surg, 21, pp. 540-545. , doi:10.1007/PL00012283; Ponsky, J.L., Heniford, B.T., Gersin, K., Choledocholithiasis: Evolving intraoperative strategies (2000) Am Surg, 66, pp. 262-268; Davis, W.Z., Cotton, P.B., Arias, R., ERCP and sphincterotomy in the context of laparoscopic cholecystectomy: Academic and community practice patterns and results (1997) Am J Gastroenterol, 92, pp. 597-601; Cotton, P.B., Lehman, G., Vennes, J., Endoscopic sphincterotomy complications and their management: An attempt at consensus (1991) Gastrointest Endosc, 37, pp. 383-393; Morino, M., Baracchi, F., Miglietta, C., Preoperative endoscopic sphincterotomy versus laparoendoscopic rendezvous in patients with gallbladder and bile duct stones (2006) Ann Surg, 244, pp. 89-893. , discussion 893-886; Tanaka, M., Takahata, S., Konomi, H., Long-term consequence of endoscopic sphincterotomy for bile duct stones (1998) Gastrointest Endosc, 48, pp. 465-469; Topal, B., Vromman, K., Aerts, R., Hospital cost categories of one-stage versus two-stage management of common bile duct stones (2010) Surg Endosc, 24, pp. 413-416; Nathanson, L.K., O'Rourke, N.A., Martin, I.J., Postoperative ERCP versus laparoscopic choledochotomy for clearance of selected bile duct calculi: A randomized trial (2005) Ann Surg, 242, pp. 188-192; Stoker, M.E., Leveillee, R.J., McCann Jr., J.C., Laparoscopic common bile duct exploration (1991) J Laparoendosc Surg, 1, pp. 287-293; Petelin, J.B., Laparoscopic common bile duct exploration (2003) Surg Endosc, 17, pp. 1705-1715; Wu, S.-C., Chen, F.-C., Lo, C.-J., Selective intraoperative cholangiography and single-stage management of common bile duct stone in laparoscopic cholecystectomy (2005) World J Surg, 29, pp. 1402-1408; Schrenk, P., Woisetschlager, R., Rieger, R., A diagnostic score to predict the difficulty of a laparoscopic cholecystectomy from preoperative variables (1998) Surg Endosc, 12, pp. 148-150; Hasson, H.M., A modified instrument and method for laparoscopy (1971) Am J Obstet Gynecol, 110, pp. 886-887; Dorman, J.P., Franklin Jr., M.E., Glass, J.L., Laparoscopic common bile duct exploration by choledochotomy. 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year = "2012",
doi = "10.1007/s00268-012-1696-8",
language = "English",
volume = "36",
pages = "2455--2460",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York LLC",
number = "10",
}
