Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이현국 | * |
dc.contributor.author | 민석기 | * |
dc.contributor.author | 홍근 | * |
dc.date.accessioned | 2016-08-27T04:08:43Z | - |
dc.date.available | 2016-08-27T04:08:43Z | - |
dc.date.issued | 2015 | * |
dc.identifier.issn | 1530-4515 | * |
dc.identifier.issn | 1534-4908 | * |
dc.identifier.other | OAK-15173 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/217346 | - |
dc.description.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. | * |
dc.language | English | * |
dc.publisher | LIPPINCOTT WILLIAMS & | * |
dc.publisher | WILKINS | * |
dc.subject | laparoscopic common bile duct exploration | * |
dc.subject | primary closure | * |
dc.subject | choledochoscopy | * |
dc.title | Long-term Outcome of Primary Closure After Laparoscopic Common Bile Duct Exploration Combined With Choledochoscopy | * |
dc.type | Article | * |
dc.relation.issue | 3 | * |
dc.relation.volume | 25 | * |
dc.relation.index | SCI | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 250 | * |
dc.relation.lastpage | 253 | * |
dc.relation.journaltitle | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | * |
dc.identifier.doi | 10.1097/SLE.0000000000000151 | * |
dc.identifier.wosid | WOS:000356369000012 | * |
dc.identifier.scopusid | 2-s2.0-84931466511 | * |
dc.author.google | Yi, Hee Jung | * |
dc.author.google | Hong, Geun | * |
dc.author.google | Min, Seog Ki | * |
dc.author.google | Lee, Hyeon Kook | * |
dc.contributor.scopusid | 이현국(8861888600) | * |
dc.contributor.scopusid | 민석기(8938656500) | * |
dc.contributor.scopusid | 홍근(55558687200) | * |
dc.date.modifydate | 20240419142421 | * |