Laser application in laparoscopic CBD exploration in management of difficult CBD stones
نویسندگان
چکیده
منابع مشابه
Guidelines for Laparoscopic CBD Exploration
Since the 1992 National Institutes of Health Consensus Development Conference Statement on Gallstones and Laparoscopic Cholecystectomy the indications for laparoscopic operations on the gallbladder and biliary tree have not changed; they remain similar to the indications for open surgery with relative and absolute contraindications as noted below. As stated in the NIH report “a patient with sum...
متن کاملAntegrade common bile duct (CBD) stenting after laparoscopic CBD exploration
UNLABELLED Laparoscopic common bile duct exploration (LCBDE) has been found to be a safe, efficient and cost-effective treatment for choledocholithiasis. Following LCBDE, the clearance may be ascertained by a cholangiogram or choledochoscopy. The common bile duct (CBD) may be closed primarily with or without a stent in situ or may be drained by means of a T-tube or a biliary enteric anastomosis...
متن کاملComparison of Bile Drainage Methods after Laparoscopic CBD Exploration
PURPOSE T-tube is a major procedure that prevents complication by biliary decompression, but which is accompanied by complications. Therefore, several procedures such as ENBD, PTBD, and antegrade biliary stent have been attempted, but with controversies as to which procedure is superior. Also, there are no standard procedures after laparoscopic CBD exploration. We performed this study to ascert...
متن کاملRepeated ERCP for the Management of Recurrent CBD Stones
Introduction The recurrence rate of choledocholithiasis after endoscopic stone extraction differs from 6.4% to 24%. Although the etiology of stone recurrence after initial ERCP has not been fully elucidated, some risk factors for stone recurrence have been reported: a common bile duct (CBD) dilatation, periampullary diverticula (PAD), pneumobilia, and acute CBD angulation. The early detection a...
متن کاملLaparoscopic CBD exploration using a V-shaped choledochotomy
BACKGROUND Laparoscopic common bile duct exploration (LCBDE) is a treatment modality for choledocholithiasis. The advantages of this technique are that it is less invasive than conventional open surgery and it permits single-stage management; however, other technical difficulties limit its use. The aim of this article is to introduce our novel technique for LCBDE, which may overcome some of the...
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ژورنال
عنوان ژورنال: HPB
سال: 2016
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.03.578