geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Outcomes following laparoscopic choledochoduodenostomy in the management of benign biliary obstruction


, : Outcomes following laparoscopic choledochoduodenostomy in the management of benign biliary obstruction. Journal of Gastrointestinal Surgery 16(4): 801-805

With the advent of endoscopic retrograde choledochoduodenostomy, the need for choledochoduodenostomy to treat common bile duct obstruction is less common, but occasionally required. Patients considered for laparoscopic choledochoduodenostomy secondary to benign conditions between 1999 and 29 at a single institution were included. Charts were retrospectively reviewed for preoperative, operative, and long-term outcomes data. Twenty patients were identified; 15 with chronic choledocholithiasis causing benign biliary obstruction or chronic recurrent cholangitis, 3 with chronic relapsing pancreatitis, and 2 with distal common bile duct strictures. Mean operative time was 27 min. No major operative complications were reported. Five patients with severe adhesions or portal hypertension required conversion to laparotomy. Median hospital stay was 6 days (range, 2 32). Postoperatively, three (2%) patients completed laparoscopically and three (66.7%) patients converted to laparotomy had complications. In addition, one death due to myocardial infarction was reported 4 weeks after hospital discharge. With an average follow-up of 21 months, only one patient (5%) developed recurrent symptoms. Laparoscopic choledochoduodenostomy is a useful technique in patients with benign, refractory common bile duct obstruction. This technically demanding procedure is feasible; however, the associated comorbidities in this complex group of patients result in a relatively high complication rate.

US$19.90

PMID: 22331393

DOI: 10.1007/s11605-011-1768-3


Other references

Mondal, S.; Hsiao, K.; Goueli, S.A., 2017: Utility of Adenosine Monophosphate Detection System for Monitoring the Activities of Diverse Enzyme Reactions. Adenosine monophosphate (AMP) is a key cellular metabolite regulating energy homeostasis and signal transduction. AMP is also a product of various enzymatic reactions, many of which are dysregulated during disease conditions. Thus, monitoring the...

Machida, J., 1929: An example of the doubling of an abdominal segment in the silkworm. Proceedings of the Imperial Academy Tokyo, 5: 176-178

Rupp, G., S.; Parsons, G.J.y; Thompson, R., J.; De-Bem, M., M., 2004: Effect of depth and stocking density on growth and retrieval of the postlarval lion's paw scallop, Nodipecten nodosus (Linnaeus, 1758). Coastal areas of southern Brazil are experiencing an intense development of bivalve farming, and the lion's paw scallop, Nodipecten nodosus (Linnaeus, 1758), is a promising aquaculture species. An important but poorly understood oceanographic...

Ermakova, I.V., 2002: Change in adrenal glucocorticoid function in first grade boys during adaptation to the beginning of learning in school and during the course of the school year. Fiziologiia Cheloveka 28(1): 35-41

Spitzer, A.R.; Boyle, J.T.; Tuchman, D.N.; Fox, W.W., 1984: Awake apnea associated with gastroesophageal reflux: a specific clinical syndrome. Fifteen infants with a specific clinical history including awake apnea were evaluated and compared with a control group of infants, using 24-hour studies of esophageal pH, nasal thermistor, impedance pneumography, and heart rate. Thirteen of the 1...

Sammis C.G.; Ivins E.R., 1994: Using seismic tomography to estimate the magnitude of lateral variation in effective mantle viscosity. Eos, Transactions, American Geophysical Union 75(16, Suppl

Markowitz L.M., 1982: Computing formulas given a single datum for sensitivity and bias when the false alarm rate is greater than the hit rate. Perceptual & Motor Skills 54(3 PART 1): 836-838

Zimmerman, D.R., 2013: Community-based urgent care in Israel and worldwide. Intermittent treatment of acute lower acuity situations has come to be defined as urgent rather than emergent care. The location of urgent care delivery has been shifting from exclusively hospital or office settings to other community locales. To...

Lo, NCH.; Alheit, J.; Alegre, B., 1986: Fecundidad parcial de la sardina Peruana (Sardinops sagax). Boletin Instituto del Mar del Peru (Callao): 102: 48-60

Pierson E.D.; Rainey W.E.; Warner R.M.; White Warner C.C., 1986: First record of monophyllus new record from montserrat west indies. Mammalia 50(2): 269-271