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- Title
Laparoscopic trans-cystic-duct common-bile-duct exploration.
- Authors
Phillips, E.; Rosenthal, R.; Carroll, B.; Fallas, M.; Phillips, E H; Rosenthal, R J; Carroll, B J; Fallas, M J
- Abstract
One thousand seventy-one consecutive laparoscopic cholecystectomies were performed. Routine cholangiography was employed with a 99% success rate. One hundred thirty patients were found to have common duct stones (CBDS). In 48 (37%) patients they were unsuspected. One hundred eleven patients underwent attempted trans-cystic-duct extraction techniques (TCD-CBDE). One hundred three (93%) were successful. The following techniques were employed: 101--biliary endoscopy, 23--ampullary balloon dilation, 2--fluoroscopic basket retrieval. The average operative time was 136 min. The average postsurgical stay was 3.7 days. There were 19 (17%) complications--6 (5%) major. There were 4 retained stones (2 intentional) and 1 death. Patients over 65 years of age had more complications and patients with unsuspected CBDS under 65 years of age had the fewest. TCD-CBDE is a safe, effective way to extract common duct calculi. Endoscopy and basket stone retrieval was the primary technique employed.
- Publication
Surgical Endoscopy, 1994, Vol 8, Issue 12, p1389
- ISSN
0930-2794
- Publication type
journal article
- DOI
10.1007/BF00187342