Prospective evaluation in 121 consecutive unselected patients undergoing laparoscopic treatment of choledocholithiasis
Laparoscopic common bile duct (CBD) exploration was attempted in 115 of 121 consecutive unselected patients with choledocholithiasis (mean age 69 (range 21–92) years) found during routine intraoperative cholangiography. The CBD was successfully cleared of all stones in 100 patients (87 per cent). Te...
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| Veröffentlicht in: | British journal of surgery 1995-09, Vol.82 (9), p.1266-1269 |
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| container_title | British journal of surgery |
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| creator | Millat, B. Fingerhut, A. Deleuze, A. Briandet, H. Marrel, E. De Seguin, C. Soulier, P. |
| description | Laparoscopic common bile duct (CBD) exploration was attempted in 115 of 121 consecutive unselected patients with choledocholithiasis (mean age 69 (range 21–92) years) found during routine intraoperative cholangiography. The CBD was successfully cleared of all stones in 100 patients (87 per cent). Ten of 11 patients referred for surgery after failure of endoscopic sphincterotomy had complete laparoscopic choledocholithiasis. Eleven patients (10 per cent) required conversion to open CBD exploration, and laparoscopic exploration was not attempted in six (5 per cent) because of inflammation or fibrosis. Postoperative endoscopic sphincterotomy was required in four patients (4 per cent) for retained stones after laparoscopic exploration. There were no postoperative deaths (39 per cent of patients were aged 75 years or more). Routine intraoperative cholangiography, and when required laparoscopic CBD exploration, should be compared in randomized trials with preoperative endoscopic retrograde cholangiography in patients with suspected choledocholithiasis. |
| doi_str_mv | 10.1002/bjs.1800820936 |
| format | Article |
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The CBD was successfully cleared of all stones in 100 patients (87 per cent). Ten of 11 patients referred for surgery after failure of endoscopic sphincterotomy had complete laparoscopic choledocholithiasis. Eleven patients (10 per cent) required conversion to open CBD exploration, and laparoscopic exploration was not attempted in six (5 per cent) because of inflammation or fibrosis. Postoperative endoscopic sphincterotomy was required in four patients (4 per cent) for retained stones after laparoscopic exploration. There were no postoperative deaths (39 per cent of patients were aged 75 years or more). Routine intraoperative cholangiography, and when required laparoscopic CBD exploration, should be compared in randomized trials with preoperative endoscopic retrograde cholangiography in patients with suspected choledocholithiasis.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800820936</identifier><identifier>PMID: 7552015</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Amylases - blood ; Biological and medical sciences ; Cholecystectomy, Laparoscopic ; Follow-Up Studies ; Gallstones - surgery ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Length of Stay ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Prospective Studies ; Sphincterotomy, Endoscopic ; Treatment Failure</subject><ispartof>British journal of surgery, 1995-09, Vol.82 (9), p.1266-1269</ispartof><rights>Copyright © 1995 British Journal of Surgery Society Ltd.</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3976-6625d474a8e2a7a7928feb4c2121aa2762d94824dff8f9d6cdac6d3fbe37e73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.1800820936$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.1800820936$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3664377$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7552015$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Millat, B.</creatorcontrib><creatorcontrib>Fingerhut, A.</creatorcontrib><creatorcontrib>Deleuze, A.</creatorcontrib><creatorcontrib>Briandet, H.</creatorcontrib><creatorcontrib>Marrel, E.</creatorcontrib><creatorcontrib>De Seguin, C.</creatorcontrib><creatorcontrib>Soulier, P.</creatorcontrib><title>Prospective evaluation in 121 consecutive unselected patients undergoing laparoscopic treatment of choledocholithiasis</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Laparoscopic common bile duct (CBD) exploration was attempted in 115 of 121 consecutive unselected patients with choledocholithiasis (mean age 69 (range 21–92) years) found during routine intraoperative cholangiography. The CBD was successfully cleared of all stones in 100 patients (87 per cent). Ten of 11 patients referred for surgery after failure of endoscopic sphincterotomy had complete laparoscopic choledocholithiasis. Eleven patients (10 per cent) required conversion to open CBD exploration, and laparoscopic exploration was not attempted in six (5 per cent) because of inflammation or fibrosis. Postoperative endoscopic sphincterotomy was required in four patients (4 per cent) for retained stones after laparoscopic exploration. There were no postoperative deaths (39 per cent of patients were aged 75 years or more). Routine intraoperative cholangiography, and when required laparoscopic CBD exploration, should be compared in randomized trials with preoperative endoscopic retrograde cholangiography in patients with suspected choledocholithiasis.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amylases - blood</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic</subject><subject>Follow-Up Studies</subject><subject>Gallstones - surgery</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Prospective Studies</subject><subject>Sphincterotomy, Endoscopic</subject><subject>Treatment Failure</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1v1DAQxS0EKkvhyg3JB8QtxR-xnRyhgi5VVYqKBOJizdqT1sUbp3Gy0P8eL7vansb2-73xaB4hrzk74YyJ96u7fMIbxhrBWqmfkAWXWlWC6-YpWTDGTMWlkM_Ji5zvGOOSKXFEjoxSgnG1IJurMeUB3RQ2SHEDcYYppJ6GnnLBqUt9Rjf_V-dyjIVET4cCYT_l8uZxvEmhv6ERBii9XBqCo9OIMK0LQlNH3W2K6NO2hOk2QA75JXnWQcz4al-PyfXnT99Pl9XF17Mvpx8uKidboyuthfK1qaFBAQZMK5oOV7UTZTYAYbTwbd2I2ndd07VeOw9Oe9mtUBo08pi823UdxnQ_Y57sOmSHMUKPac7WGGUU07KAb_bgvFqjt8MY1jA-2P2aiv52r0N2ELsRehfyAZNa19Js_2t32J8Q8eEgc2a3UdkSlX2Myn48v368FW-184Y84d-DF8bfVhtplP1xeWa_1ZfLn7-uzu1S_gM1cZoB</recordid><startdate>199509</startdate><enddate>199509</enddate><creator>Millat, B.</creator><creator>Fingerhut, A.</creator><creator>Deleuze, A.</creator><creator>Briandet, H.</creator><creator>Marrel, E.</creator><creator>De Seguin, C.</creator><creator>Soulier, P.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199509</creationdate><title>Prospective evaluation in 121 consecutive unselected patients undergoing laparoscopic treatment of choledocholithiasis</title><author>Millat, B. ; Fingerhut, A. ; Deleuze, A. ; Briandet, H. ; Marrel, E. ; De Seguin, C. ; Soulier, P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3976-6625d474a8e2a7a7928feb4c2121aa2762d94824dff8f9d6cdac6d3fbe37e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amylases - blood</topic><topic>Biological and medical sciences</topic><topic>Cholecystectomy, Laparoscopic</topic><topic>Follow-Up Studies</topic><topic>Gallstones - surgery</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Prospective Studies</topic><topic>Sphincterotomy, Endoscopic</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Millat, B.</creatorcontrib><creatorcontrib>Fingerhut, A.</creatorcontrib><creatorcontrib>Deleuze, A.</creatorcontrib><creatorcontrib>Briandet, H.</creatorcontrib><creatorcontrib>Marrel, E.</creatorcontrib><creatorcontrib>De Seguin, C.</creatorcontrib><creatorcontrib>Soulier, P.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Millat, B.</au><au>Fingerhut, A.</au><au>Deleuze, A.</au><au>Briandet, H.</au><au>Marrel, E.</au><au>De Seguin, C.</au><au>Soulier, P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective evaluation in 121 consecutive unselected patients undergoing laparoscopic treatment of choledocholithiasis</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1995-09</date><risdate>1995</risdate><volume>82</volume><issue>9</issue><spage>1266</spage><epage>1269</epage><pages>1266-1269</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Laparoscopic common bile duct (CBD) exploration was attempted in 115 of 121 consecutive unselected patients with choledocholithiasis (mean age 69 (range 21–92) years) found during routine intraoperative cholangiography. The CBD was successfully cleared of all stones in 100 patients (87 per cent). Ten of 11 patients referred for surgery after failure of endoscopic sphincterotomy had complete laparoscopic choledocholithiasis. Eleven patients (10 per cent) required conversion to open CBD exploration, and laparoscopic exploration was not attempted in six (5 per cent) because of inflammation or fibrosis. Postoperative endoscopic sphincterotomy was required in four patients (4 per cent) for retained stones after laparoscopic exploration. There were no postoperative deaths (39 per cent of patients were aged 75 years or more). Routine intraoperative cholangiography, and when required laparoscopic CBD exploration, should be compared in randomized trials with preoperative endoscopic retrograde cholangiography in patients with suspected choledocholithiasis.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>7552015</pmid><doi>10.1002/bjs.1800820936</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Aged, 80 and over Amylases - blood Biological and medical sciences Cholecystectomy, Laparoscopic Follow-Up Studies Gallstones - surgery Gastroenterology. Liver. Pancreas. Abdomen Humans Length of Stay Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Middle Aged Other diseases. Semiology Prospective Studies Sphincterotomy, Endoscopic Treatment Failure |
| title | Prospective evaluation in 121 consecutive unselected patients undergoing laparoscopic treatment of choledocholithiasis |
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