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Article: Combined laparoscopic and endoscopic approach in patients with cholelithiasis and choledocholithiasis

TitleCombined laparoscopic and endoscopic approach in patients with cholelithiasis and choledocholithiasis
Authors
Issue Date1996
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surg
Citation
Surgery, 1996, v. 119 n. 5, p. 534-537 How to Cite?
AbstractBackground. The optimal management of common bile duct stones in patients undergoing laparoscopic cholecystectomy remains controversial. Methods. A prospective study was conducted in 145 of the 481 patients who had a preoperative endoscopic retrograde cholangiogram before their laparoscopic cholecystectomy. Results. Endoscopic retrograde cholangiogram was successful in 138 patients (95%), and common duct calculi were found in 72 (50%) of them. Endoscopic sphincterotomy with ductal clearance was achieved in 62 of 67 patients during a mean of 1.4 sessions (range, 1 to 5). Five (3.4%) patients had complications after endoscopic intervention, all of which resolved uneventfully. Fourteen patients underwent laparoscopic common duct exploration, five had tidied endoscopic extraction, five had their common duct stones left intentionally for laparoscopic intervention, and, in addition, four of the seven patients who had a failed endoscopic retrograde cholangiogram had stones identified by intraoperative cholangiogram. Ten of these 14 patients underwent a successful laparoscopic common duct exploration. Laparoscopic cholecystectomy was successfully completed in 134 of the 145 patients, and none had major intraoperative or postoperative complications. The mean postoperative stay was 2.7 days for those patients who underwent a successful laparoscopic procedure. The overall mean number of admissions for completing the treatment was 2.3. Conclusions. Combined laparoscopic and endoscopic approach is a viable option for patients with gallstones and choledocholithiasis.
Persistent Identifierhttp://hdl.handle.net/10722/83717
ISSN
2015 Impact Factor: 3.309
2015 SCImago Journal Rankings: 1.620
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLiu, CLen_HK
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorLo, CMen_HK
dc.contributor.authorChu, KMen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T08:44:22Z-
dc.date.available2010-09-06T08:44:22Z-
dc.date.issued1996en_HK
dc.identifier.citationSurgery, 1996, v. 119 n. 5, p. 534-537en_HK
dc.identifier.issn0039-6060en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83717-
dc.description.abstractBackground. The optimal management of common bile duct stones in patients undergoing laparoscopic cholecystectomy remains controversial. Methods. A prospective study was conducted in 145 of the 481 patients who had a preoperative endoscopic retrograde cholangiogram before their laparoscopic cholecystectomy. Results. Endoscopic retrograde cholangiogram was successful in 138 patients (95%), and common duct calculi were found in 72 (50%) of them. Endoscopic sphincterotomy with ductal clearance was achieved in 62 of 67 patients during a mean of 1.4 sessions (range, 1 to 5). Five (3.4%) patients had complications after endoscopic intervention, all of which resolved uneventfully. Fourteen patients underwent laparoscopic common duct exploration, five had tidied endoscopic extraction, five had their common duct stones left intentionally for laparoscopic intervention, and, in addition, four of the seven patients who had a failed endoscopic retrograde cholangiogram had stones identified by intraoperative cholangiogram. Ten of these 14 patients underwent a successful laparoscopic common duct exploration. Laparoscopic cholecystectomy was successfully completed in 134 of the 145 patients, and none had major intraoperative or postoperative complications. The mean postoperative stay was 2.7 days for those patients who underwent a successful laparoscopic procedure. The overall mean number of admissions for completing the treatment was 2.3. Conclusions. Combined laparoscopic and endoscopic approach is a viable option for patients with gallstones and choledocholithiasis.en_HK
dc.languageengen_HK
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surgen_HK
dc.relation.ispartofSurgeryen_HK
dc.titleCombined laparoscopic and endoscopic approach in patients with cholelithiasis and choledocholithiasisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0263-9319&volume=119&spage=534&epage=537&date=1996&atitle=Combined+laparoscopic+and+endoscopic+approach+in+patients+with+cholelithiasis+and+choledocholithiasisen_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.emailChu, KM: chukm@hkucc.hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.identifier.authorityChu, KM=rp00435en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0039-6060(96)80263-7en_HK
dc.identifier.pmid8619209en_HK
dc.identifier.scopuseid_2-s2.0-0029972495en_HK
dc.identifier.hkuros22231en_HK
dc.identifier.hkuros12228-
dc.identifier.volume119en_HK
dc.identifier.issue5en_HK
dc.identifier.spage534en_HK
dc.identifier.epage537en_HK
dc.identifier.isiWOS:A1996UJ83600010-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLiu, CL=7409789712en_HK
dc.identifier.scopusauthoridLai, ECS=36932159600en_HK
dc.identifier.scopusauthoridLo, CM=7401771672en_HK
dc.identifier.scopusauthoridChu, KM=7402453538en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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