Laparoscopic common bile duct exploration in patients with complicated cholecystitis: A safety and feasibility study

Hung-Chieh Lo, Yu-Chun Wang, Jui-Chien Huang, Cheng-Hsiung Hsu, Shih-Chi Wu, Chi-Hsun Hsieh

Research output: Contribution to journalArticle

6 Citations (Scopus)

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
Original languageEnglish
Pages (from-to)2455-2460
Number of pages6
JournalWorld Journal of Surgery
Volume36
Issue number10
DOIs
Publication statusPublished - 2012
Externally publishedYes

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

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