Background and study aims: Gall stones (Cholelithiasis) are a common health problem worldwide. Common bile duct (CBD) stones are the second most frequent complication of cholelithiasis and occur in 10% to 15% of patients. Most laparoscopic surgeons prefer the “single-stage” laparoscopic approach to cholelithiasis and choledocholithiasis in an attempt to decrease the need for multiple procedures and their associated morbidity and mortality. This is a preliminary experience aiming at evaluation of laparoscopic common bile duct exploration in a selected group of patients with choledocholithiasis to choose good selection criteria. Patients / Material and Methods: From March 2011 to May 2013, fifty patients with common bile duct stones underwent laparoscopic CBD exploration in Gastro-enterology surgical center, Mansoura, Egypt. Results: Fifty patients with CBD stones underwent laparoscopic CBD exploration, with successful procedure in 47 cases and the remaining 3 cases required conversion to open surgery; Two patients underwent laparoscopic trans-cystic approach with successful CBD clearance in both patients as they have small stones below 0.5 cm. Forty-five patients required laparoscopic choledochotomy. Hospital morbidity occurred in 2 (4%) patients; one with minor bile leak which managed conservatively and one with missed CBD stone that required endoscopic stone removal 5 days postoperatively. There was no operative mortality. Conclusions: Laparoscopic CBD exploration is a feasible, safe and effective procedure that has a low morbidity and mortality rate. Patient selection is mandatory especially in the first few cases (during the learning curve) until experience is approached.
El Hanafy, E., Hamdy, E., El Nakeeb, A., El Hemaly, M., Atef, E., Ezzat, H., Salem, A., & Kandil, T. (2014). LAPAROSCOPIC COMMON BILE DUCT EXPLORATION: PATIENT SELECTION FOR NON- EXPERIENCED SURGEONS. The Egyptian Journal of Surgery, 33(1), 14-18. doi: 10.21608/ejsur.2014.366635
MLA
Ehab El Hanafy; Emad Hamdy; Ayman El Nakeeb; Mohamad El Hemaly; Ehab Atef; Helmy Ezzat; Ali Salem; Tharwat Kandil. "LAPAROSCOPIC COMMON BILE DUCT EXPLORATION: PATIENT SELECTION FOR NON- EXPERIENCED SURGEONS", The Egyptian Journal of Surgery, 33, 1, 2014, 14-18. doi: 10.21608/ejsur.2014.366635
HARVARD
El Hanafy, E., Hamdy, E., El Nakeeb, A., El Hemaly, M., Atef, E., Ezzat, H., Salem, A., Kandil, T. (2014). 'LAPAROSCOPIC COMMON BILE DUCT EXPLORATION: PATIENT SELECTION FOR NON- EXPERIENCED SURGEONS', The Egyptian Journal of Surgery, 33(1), pp. 14-18. doi: 10.21608/ejsur.2014.366635
VANCOUVER
El Hanafy, E., Hamdy, E., El Nakeeb, A., El Hemaly, M., Atef, E., Ezzat, H., Salem, A., Kandil, T. LAPAROSCOPIC COMMON BILE DUCT EXPLORATION: PATIENT SELECTION FOR NON- EXPERIENCED SURGEONS. The Egyptian Journal of Surgery, 2014; 33(1): 14-18. doi: 10.21608/ejsur.2014.366635
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