View : 18 Download: 0

Long-term Outcome of Primary Closure After Laparoscopic Common Bile Duct Exploration Combined With Choledochoscopy

Title
Long-term Outcome of Primary Closure After Laparoscopic Common Bile Duct Exploration Combined With Choledochoscopy
Authors
Yi, Hee JungHong, GeunMin, Seog KiLee, Hyeon Kook
Ewha Authors
이현국민석기홍근
SCOPUS Author ID
이현국scopus; 민석기scopus; 홍근scopus
Issue Date
2015
Journal Title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN
1530-4515JCR Link1534-4908JCR Link
Citation
vol. 25, no. 3, pp. 250 - 253
Keywords
laparoscopic common bile duct explorationprimary closurecholedochoscopy
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Background:Primary closure after laparoscopic common bile duct exploration (LCBDE) is considered to be a safe alternative to T-tube drainage on the basis of the short-term outcome. However, little published data exist regarding the biliary complications at the long-term follow-up of primary closure versus T-tube drainage following LCBDE. Hence, the aim of this study is to assess the long-term outcome of primary closure after LCBDE.Materials and Methods:This is a retrospective study of 142 consecutive patients who underwent LCBDE combined with choledochoscopy for CBD stones. After LCBDE, the choledochotomy was closed by primary closure (group P) in 91 patients (64.1%) and with T-tube drainage (group T) in 51 patients (35.9%). The data on operative outcome and long-term biliary complications were compared between the 2 groups.Results:The mean operation time was significantly shorter in group P than group T (168.950.1 min for group P vs. 198.0 +/- 59.6 min for group T, P=0.002). The hospital stay was significantly shorter in group P than in group T (8.59 +/- 6.0 d for group P vs. 14.96 +/- 5.4 d for group T, P=0.001). Postoperative bile leak occurred in 2 patients (2.2%) in group P and 1 patient (2.0%) in group T. With a mean follow-up of 48.8 months, the stone recurrence rate in group P and group T were 4.4% and 5.9%, respectively (P=0.722). During the follow-up period, there was no sign of biliary stricture or other biliary complications in both groups.Conclusions:The long-term follow-up data on primary closure after LCBDE indicated a low incidence of recurrent stones, and no biliary strictures. Thus, primary closure after LCBDE with choledochoscopy is considered to be a safe and effective alternative to T-tube drainage in terms of long-term outcome.
DOI
10.1097/SLE.0000000000000151
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE