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

研究成果: 雜誌貢獻文章

5 引文 (Scopus)

摘要

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
原文英語
頁(從 - 到)2455-2460
頁數6
期刊World Journal of Surgery
36
發行號10
DOIs
出版狀態已發佈 - 2012
對外發佈Yes

指紋

Cholecystitis
Common Bile Duct
Feasibility Studies
Safety
Laparoscopic Cholecystectomy
Demography
Operative Time
General Anesthesia
China
Hemodynamics
Morbidity

引用此文

Laparoscopic common bile duct exploration in patients with complicated cholecystitis: A safety and feasibility study. / Lo, Hung-Chieh; Wang, Yu-Chun; Huang, Jui-Chien; Hsu, Cheng-Hsiung; Wu, Shih-Chi; Hsieh, Chi-Hsun.

於: World Journal of Surgery, 卷 36, 編號 10, 2012, p. 2455-2460.

研究成果: 雜誌貢獻文章

Lo, Hung-Chieh ; Wang, Yu-Chun ; Huang, Jui-Chien ; Hsu, Cheng-Hsiung ; Wu, Shih-Chi ; Hsieh, Chi-Hsun. / Laparoscopic common bile duct exploration in patients with complicated cholecystitis: A safety and feasibility study. 於: World Journal of Surgery. 2012 ; 卷 36, 編號 10. 頁 2455-2460.
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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",
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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. An effective and efficient method of treatment of choledocholithiasis (1998) Surg Endosc, 12, pp. 926-928; Michel, J., Navarro, F., Montpeyroux, F., Treatment of common bile duct stones with laparoscopy. Retrospective multicenter study with 612 patients (2000) Gastroenterol Clin Biol, 24, pp. 404-408; Fan, S.T., Lai, E.C., Mok, F.P., Early treatment of acute biliary pancreatitis by endoscopic papillotomy (1993) N Engl J Med, 328, pp. 228-232; Lai, E.C., Mok, F.P., Tan, E.S., Endoscopic biliary drainage for severe acute cholangitis (1992) N Engl J Med, 326, pp. 1582-1586; Cuschieri, A., Lezoche, E., Morino, M., E.A.E.S. Multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal calculi (1999) Surg Endosc, 13, pp. 952-957; Suc, B., Escat, J., Cherqui, D., Surgery vs endoscopy as primary treatment in symptomatic patients with suspected common bile duct stones: A multicenter randomized trial (1998) French Associations for Surgical Research. Arch Surg, 133, pp. 702-708; Rhodes, M., Sussman, L., Cohen, L., Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones (1998) Lancet, 351, pp. 159-161; Shamiyeh, A., Danis, J., Wayand, W., A 14-year analysis of laparoscopic cholecystectomy: Conversion-when and why? (2007) Surgical Laparosc Endosc Percutan Tech, 17, pp. 271-276; Koo, K.P., Traverso, L.W., Do preoperative indicators predict the presence of common bile duct stones during laparoscopic cholecystectomy? (1996) Am J Surg, 171, pp. 495-499; Hunter, J.G., Soper, N.J., Laparoscopic management of bile duct stones (1992) Surg Clin North Am, 72, pp. 1077-1097; Tokumura, H., Umezawa, A., Cao, H., Laparoscopic management of common bile duct stones: Transcystic approach and choledochotomy (2002) J Hepato-Biliary-Pancreat Surg, 9, pp. 206-212; Bove, A., Bongarzoni, G., Palone, G., Why is there recurrence after transcystic laparoscopic bile duct clearance? Risk factor analysis (2009) Surg Endosc, 23, pp. 1470-1475; Tinoco, R., Tinoco, A., El-Kadre, L., Laparoscopic common bile duct exploration (2008) Ann Surg, 247, pp. 674-679; Chiarugi, M., Galatioto, C., Lippolis, P.V., Simultaneous laparoscopic treatment for common bile duct stones associated with acute cholecystitis. Results of a prospective study (2004) Chir Endosc, 18, pp. 910-914; Cuschieri, A., Ductal stones: Pathology, clinical manifestations, laparoscopic extraction techniques, and complications (2000) Semin Laparosc Surg, 7, pp. 246-261; Turunen, M.T., Jarvinen, H.J., Hastbacka, J., Choledochoscopy versus postexploratory cholangiography in prevention of retained common duct stones (1984) Ann Chir Gynaecol, 73, pp. 249-252; Topal, B., Aerts, R., Penninckx, F., Laparoscopic common bile duct stone clearance with flexible choledochoscopy (2007) Surg Endosc, 21, pp. 2317-2321; Martin, D.J., Vernon, D.R., Toouli, J., Surgical versus endoscopic treatment of bile duct stones (2006) Cochrane Database Syst Rev, pp. CD003327; Alhamdani, A., Mahmud, S., Jameel, M., Primary closure of choledochotomy after emergency laparoscopic common bile duct exploration (2008) Surg Endosc, 22, pp. 2190-2195",
year = "2012",
doi = "10.1007/s00268-012-1696-8",
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pages = "2455--2460",
journal = "World Journal of Surgery",
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TY - JOUR

T1 - Laparoscopic common bile duct exploration in patients with complicated cholecystitis: A safety and feasibility study

AU - Lo, Hung-Chieh

AU - Wang, Yu-Chun

AU - Huang, Jui-Chien

AU - Hsu, Cheng-Hsiung

AU - Wu, Shih-Chi

AU - Hsieh, Chi-Hsun

N1 - 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. An effective and efficient method of treatment of choledocholithiasis (1998) Surg Endosc, 12, pp. 926-928; Michel, J., Navarro, F., Montpeyroux, F., Treatment of common bile duct stones with laparoscopy. Retrospective multicenter study with 612 patients (2000) Gastroenterol Clin Biol, 24, pp. 404-408; Fan, S.T., Lai, E.C., Mok, F.P., Early treatment of acute biliary pancreatitis by endoscopic papillotomy (1993) N Engl J Med, 328, pp. 228-232; Lai, E.C., Mok, F.P., Tan, E.S., Endoscopic biliary drainage for severe acute cholangitis (1992) N Engl J Med, 326, pp. 1582-1586; Cuschieri, A., Lezoche, E., Morino, M., E.A.E.S. Multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal calculi (1999) Surg Endosc, 13, pp. 952-957; Suc, B., Escat, J., Cherqui, D., Surgery vs endoscopy as primary treatment in symptomatic patients with suspected common bile duct stones: A multicenter randomized trial (1998) French Associations for Surgical Research. Arch Surg, 133, pp. 702-708; Rhodes, M., Sussman, L., Cohen, L., Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones (1998) Lancet, 351, pp. 159-161; Shamiyeh, A., Danis, J., Wayand, W., A 14-year analysis of laparoscopic cholecystectomy: Conversion-when and why? (2007) Surgical Laparosc Endosc Percutan Tech, 17, pp. 271-276; Koo, K.P., Traverso, L.W., Do preoperative indicators predict the presence of common bile duct stones during laparoscopic cholecystectomy? (1996) Am J Surg, 171, pp. 495-499; Hunter, J.G., Soper, N.J., Laparoscopic management of bile duct stones (1992) Surg Clin North Am, 72, pp. 1077-1097; Tokumura, H., Umezawa, A., Cao, H., Laparoscopic management of common bile duct stones: Transcystic approach and choledochotomy (2002) J Hepato-Biliary-Pancreat Surg, 9, pp. 206-212; Bove, A., Bongarzoni, G., Palone, G., Why is there recurrence after transcystic laparoscopic bile duct clearance? Risk factor analysis (2009) Surg Endosc, 23, pp. 1470-1475; Tinoco, R., Tinoco, A., El-Kadre, L., Laparoscopic common bile duct exploration (2008) Ann Surg, 247, pp. 674-679; Chiarugi, M., Galatioto, C., Lippolis, P.V., Simultaneous laparoscopic treatment for common bile duct stones associated with acute cholecystitis. Results of a prospective study (2004) Chir Endosc, 18, pp. 910-914; Cuschieri, A., Ductal stones: Pathology, clinical manifestations, laparoscopic extraction techniques, and complications (2000) Semin Laparosc Surg, 7, pp. 246-261; Turunen, M.T., Jarvinen, H.J., Hastbacka, J., Choledochoscopy versus postexploratory cholangiography in prevention of retained common duct stones (1984) Ann Chir Gynaecol, 73, pp. 249-252; Topal, B., Aerts, R., Penninckx, F., Laparoscopic common bile duct stone clearance with flexible choledochoscopy (2007) Surg Endosc, 21, pp. 2317-2321; Martin, D.J., Vernon, D.R., Toouli, J., Surgical versus endoscopic treatment of bile duct stones (2006) Cochrane Database Syst Rev, pp. CD003327; Alhamdani, A., Mahmud, S., Jameel, M., Primary closure of choledochotomy after emergency laparoscopic common bile duct exploration (2008) Surg Endosc, 22, pp. 2190-2195

PY - 2012

Y1 - 2012

N2 - 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

AB - 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

KW - aged

KW - article

KW - cholecystectomy

KW - cholecystitis

KW - common bile duct

KW - feasibility study

KW - female

KW - human

KW - male

KW - retrospective study

KW - severity of illness index

KW - Aged

KW - Cholecystectomy, Laparoscopic

KW - Cholecystitis

KW - Common Bile Duct

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Male

KW - Retrospective Studies

KW - Severity of Illness Index

U2 - 10.1007/s00268-012-1696-8

DO - 10.1007/s00268-012-1696-8

M3 - Article

VL - 36

SP - 2455

EP - 2460

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 10

ER -