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Laparoscopic Common Bile Duct Exploration in Patients With Gallstones and Choledocholithiasis

2010; Society of Laparoendoscopic Surgeons; Volume: 14; Issue: 2 Linguagem: Inglês

10.4293/108680810x12785289144395

1938-3797

Alexis Sánchez, Omaira Rodríguez, Omar Bellorín, Renata Sánchez, Gustavo Benítez,

Pancreatic and Hepatic Oncology Research

Objectives:To compare the effectiveness of laparoscopic common bile duct exploration in patients with failed endoscopic retrograde cholangiopancreatography (ERCP).Methods:This is a descriptive, comparative study. Patients with an indication of common bile duct exploration between February 2005 and October 2008 were included. We studied 2 groups: Group A: patients with failed ERCP who underwent LCBDE plus LC. Group B: patients with common bile duct stones managed with the 1-step approach (LCBDE + LC) with no prior ERCP.Results:Twenty-five patients were included. Group A: 9 patients, group B: 16 patients. Success rate, operative time, and hospital stay were as follows: group A 66% vs group B 87.5%; group A 187 minutes vs 106 minutes; group A 4.5 days vs 2.3 days; respectively.Conclusion:Patients with failed ERCP should be considered as high-complex cases in which the laparoscopic procedure success rate decreases, and the conversion rate increases considerably.