Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones
Background We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra‐ and extrahepatic bile duct stones. Methods A total of 26 patients with intra‐ and extrahepatic bile duct stones underwent LH and EPBD....
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| Veröffentlicht in: | ANZ journal of surgery 2018-06, Vol.88 (6), p.E522-E525 |
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| container_title | ANZ journal of surgery |
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| creator | Yang, Jian Zhang, Fabiao Du, Xuefeng Wang, Aidong Lv, Shangdong Fang, Zheping |
| description | Background
We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra‐ and extrahepatic bile duct stones.
Methods
A total of 26 patients with intra‐ and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi‐hepatic vascular occlusion was used to complete the LH. EPBD was performed under the guidance of a guidewire, and stones were removed with a stone basket or balloon.
Results
A one‐stage LH with EPBD lithotomy was successfully performed in 26 cases. No residual bile duct stones, intestinal or bile duct perforations were found. In addition, no severe post‐operative bleeding, severe pancreatitis or mortality occurred. Post‐operative hyperamylasemia was observed in five cases and bile leakage in one case. Post‐operative hospital stays lasted 7–11 days.
Conclusion
LH combined with EPBD applied to intra‐ and extrahepatic bile duct stones was feasible, effective and safe, resulting in rapid recovery and few post‐operative complications. |
| doi_str_mv | 10.1111/ans.14132 |
| format | Article |
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We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra‐ and extrahepatic bile duct stones.
Methods
A total of 26 patients with intra‐ and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi‐hepatic vascular occlusion was used to complete the LH. EPBD was performed under the guidance of a guidewire, and stones were removed with a stone basket or balloon.
Results
A one‐stage LH with EPBD lithotomy was successfully performed in 26 cases. No residual bile duct stones, intestinal or bile duct perforations were found. In addition, no severe post‐operative bleeding, severe pancreatitis or mortality occurred. Post‐operative hyperamylasemia was observed in five cases and bile leakage in one case. Post‐operative hospital stays lasted 7–11 days.
Conclusion
LH combined with EPBD applied to intra‐ and extrahepatic bile duct stones was feasible, effective and safe, resulting in rapid recovery and few post‐operative complications.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/ans.14132</identifier><identifier>PMID: 28803451</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Adult ; Balloon treatment ; Bile ; bile duct stones ; Bile ducts ; Bile Ducts, Extrahepatic - diagnostic imaging ; Bile Ducts, Extrahepatic - surgery ; Bile Ducts, Intrahepatic - diagnostic imaging ; Bile Ducts, Intrahepatic - surgery ; Bleeding ; Cholangiopancreatography, Endoscopic Retrograde - methods ; Cohort Studies ; Combined Modality Therapy ; Complications ; Dilatation - methods ; Dilation ; endoscopic papillary balloon dilation ; Endoscopy ; Feasibility studies ; Female ; Follow-Up Studies ; Gallstones - diagnostic imaging ; Gallstones - surgery ; Hepatectomy ; Hepatectomy - methods ; Humans ; Intestine ; Laparoscopy ; Laparoscopy - methods ; Length of Stay ; Liver ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Occlusion ; Operative Time ; Pancreatitis ; Patient Safety ; Perforation ; Prospective Studies ; Risk Assessment ; Treatment Outcome ; Vascular occlusion</subject><ispartof>ANZ journal of surgery, 2018-06, Vol.88 (6), p.E522-E525</ispartof><rights>2017 Royal Australasian College of Surgeons</rights><rights>2017 Royal Australasian College of Surgeons.</rights><rights>2018 Royal Australasian College of Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-a562f4db44f7ae1ded753437a8d01519e65f181c6087097d58b2bbd052443d333</citedby><cites>FETCH-LOGICAL-c3532-a562f4db44f7ae1ded753437a8d01519e65f181c6087097d58b2bbd052443d333</cites><orcidid>0000-0002-3068-7398</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fans.14132$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fans.14132$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28803451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Jian</creatorcontrib><creatorcontrib>Zhang, Fabiao</creatorcontrib><creatorcontrib>Du, Xuefeng</creatorcontrib><creatorcontrib>Wang, Aidong</creatorcontrib><creatorcontrib>Lv, Shangdong</creatorcontrib><creatorcontrib>Fang, Zheping</creatorcontrib><title>Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background
We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra‐ and extrahepatic bile duct stones.
Methods
A total of 26 patients with intra‐ and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi‐hepatic vascular occlusion was used to complete the LH. EPBD was performed under the guidance of a guidewire, and stones were removed with a stone basket or balloon.
Results
A one‐stage LH with EPBD lithotomy was successfully performed in 26 cases. No residual bile duct stones, intestinal or bile duct perforations were found. In addition, no severe post‐operative bleeding, severe pancreatitis or mortality occurred. Post‐operative hyperamylasemia was observed in five cases and bile leakage in one case. Post‐operative hospital stays lasted 7–11 days.
Conclusion
LH combined with EPBD applied to intra‐ and extrahepatic bile duct stones was feasible, effective and safe, resulting in rapid recovery and few post‐operative complications.</description><subject>Adult</subject><subject>Balloon treatment</subject><subject>Bile</subject><subject>bile duct stones</subject><subject>Bile ducts</subject><subject>Bile Ducts, Extrahepatic - diagnostic imaging</subject><subject>Bile Ducts, Extrahepatic - surgery</subject><subject>Bile Ducts, Intrahepatic - diagnostic imaging</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Bleeding</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - methods</subject><subject>Cohort Studies</subject><subject>Combined Modality Therapy</subject><subject>Complications</subject><subject>Dilatation - methods</subject><subject>Dilation</subject><subject>endoscopic papillary balloon dilation</subject><subject>Endoscopy</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gallstones - diagnostic imaging</subject><subject>Gallstones - surgery</subject><subject>Hepatectomy</subject><subject>Hepatectomy - methods</subject><subject>Humans</subject><subject>Intestine</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Liver</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occlusion</subject><subject>Operative Time</subject><subject>Pancreatitis</subject><subject>Patient Safety</subject><subject>Perforation</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Treatment Outcome</subject><subject>Vascular occlusion</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0E4nvgDyBLLDAUfP5InBFVfEkVDMBsObajukriECcq_fe4tDAgccvd8NyruwehMyDXkOpGt_EaODC6gw6BczGhUOS72xk4YwfoKMYFIZBlhdhHB1RKwriAQ-RnutN9iCZ03uC56_TgzBCaFTahKX3rLF76YY5da3-gTne-rnW_wqWu6xBabH2tB5-GKvTrva52n7j0tcN2NAOOQ2hdPEF7la6jO932Y_R-f_c2fZzMXh6epreziWGC0YkWGa24LTmvcu3AOpsLxlmupSUgoHCZqECCyYjMSZFbIUtalpYIyjmzjLFjdLnJ7frwMbo4qMZH49LFrQtjVFBQmUsGPE_oxR90Eca-TdcpSniREcpBJupqQ5nkKfauUl3vm_S_AqLW_lXyr779J_Z8mziWjbO_5I_wBNxsgGXSs_o_Sd0-v24ivwClc49a</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Yang, Jian</creator><creator>Zhang, Fabiao</creator><creator>Du, Xuefeng</creator><creator>Wang, Aidong</creator><creator>Lv, Shangdong</creator><creator>Fang, Zheping</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3068-7398</orcidid></search><sort><creationdate>201806</creationdate><title>Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones</title><author>Yang, Jian ; Zhang, Fabiao ; Du, Xuefeng ; Wang, Aidong ; Lv, Shangdong ; Fang, Zheping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-a562f4db44f7ae1ded753437a8d01519e65f181c6087097d58b2bbd052443d333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Balloon treatment</topic><topic>Bile</topic><topic>bile duct stones</topic><topic>Bile ducts</topic><topic>Bile Ducts, Extrahepatic - diagnostic imaging</topic><topic>Bile Ducts, Extrahepatic - surgery</topic><topic>Bile Ducts, Intrahepatic - diagnostic imaging</topic><topic>Bile Ducts, Intrahepatic - surgery</topic><topic>Bleeding</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - methods</topic><topic>Cohort Studies</topic><topic>Combined Modality Therapy</topic><topic>Complications</topic><topic>Dilatation - methods</topic><topic>Dilation</topic><topic>endoscopic papillary balloon dilation</topic><topic>Endoscopy</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gallstones - diagnostic imaging</topic><topic>Gallstones - surgery</topic><topic>Hepatectomy</topic><topic>Hepatectomy - methods</topic><topic>Humans</topic><topic>Intestine</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Liver</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occlusion</topic><topic>Operative Time</topic><topic>Pancreatitis</topic><topic>Patient Safety</topic><topic>Perforation</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Treatment Outcome</topic><topic>Vascular occlusion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Jian</creatorcontrib><creatorcontrib>Zhang, Fabiao</creatorcontrib><creatorcontrib>Du, Xuefeng</creatorcontrib><creatorcontrib>Wang, Aidong</creatorcontrib><creatorcontrib>Lv, Shangdong</creatorcontrib><creatorcontrib>Fang, Zheping</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Jian</au><au>Zhang, Fabiao</au><au>Du, Xuefeng</au><au>Wang, Aidong</au><au>Lv, Shangdong</au><au>Fang, Zheping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2018-06</date><risdate>2018</risdate><volume>88</volume><issue>6</issue><spage>E522</spage><epage>E525</epage><pages>E522-E525</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background
We evaluated the feasibility and efficacy of laparoscopic hepatectomy (LH) combined with endoscopic papillary balloon dilation (EPBD) for removing intra‐ and extrahepatic bile duct stones.
Methods
A total of 26 patients with intra‐ and extrahepatic bile duct stones underwent LH and EPBD. Selective hemi‐hepatic vascular occlusion was used to complete the LH. EPBD was performed under the guidance of a guidewire, and stones were removed with a stone basket or balloon.
Results
A one‐stage LH with EPBD lithotomy was successfully performed in 26 cases. No residual bile duct stones, intestinal or bile duct perforations were found. In addition, no severe post‐operative bleeding, severe pancreatitis or mortality occurred. Post‐operative hyperamylasemia was observed in five cases and bile leakage in one case. Post‐operative hospital stays lasted 7–11 days.
Conclusion
LH combined with EPBD applied to intra‐ and extrahepatic bile duct stones was feasible, effective and safe, resulting in rapid recovery and few post‐operative complications.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>28803451</pmid><doi>10.1111/ans.14132</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-3068-7398</orcidid></addata></record> |
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| subjects | Adult Balloon treatment Bile bile duct stones Bile ducts Bile Ducts, Extrahepatic - diagnostic imaging Bile Ducts, Extrahepatic - surgery Bile Ducts, Intrahepatic - diagnostic imaging Bile Ducts, Intrahepatic - surgery Bleeding Cholangiopancreatography, Endoscopic Retrograde - methods Cohort Studies Combined Modality Therapy Complications Dilatation - methods Dilation endoscopic papillary balloon dilation Endoscopy Feasibility studies Female Follow-Up Studies Gallstones - diagnostic imaging Gallstones - surgery Hepatectomy Hepatectomy - methods Humans Intestine Laparoscopy Laparoscopy - methods Length of Stay Liver Magnetic Resonance Imaging - methods Male Middle Aged Occlusion Operative Time Pancreatitis Patient Safety Perforation Prospective Studies Risk Assessment Treatment Outcome Vascular occlusion |
| title | Laparoscopic hepatectomy combined with endoscopic papillary balloon dilation for complex bile duct stones |
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