BACKGROUND Gallstone disease affects 15-20% of the general population and up to 20% of these patients present common bile duct stones. AIM This observational study reports our experience on routine cysticotomy and flushing of the cystic duct in patients with low risk of common duct stones. MATERIALS AND METHODS We analyzed 731 patients who underwent laparoscopic cholecystectomy between Sept...

BACKGROUND The serum level of gamma glutaryl transferase and alkaline phosphatase is raised in acute calculus cholecystitis and common bile duct stone. However, the rise in serum level of these enzymes in acute cholecystitis implies stone in the common bile duct is not well studied. Thus, it may lead to retained CBD stone on one side and unnecessary CBD exploration on the other during emergency...

Introduction:Even with the emergence of laparoscopic common bile duct exploration, open common bile duct exploration remains the procedure of choice for the surgical management of choledocholithiasis in developing countries. Open CBD exploration is usually followed by a T-tube insertion whichhas been proven to be safe and effective for post-operative biliary decompression. However, the use of T...

RATIONALE Duplication of the extrahepatic bile duct is an extremely rare congenital anomaly of the biliary system. PATIENT CONCERNS A 44-year-old woman presented with a history of continuous upper abdominal pain and vomiting. DIAGNOSES Magnetic resonance cholangiopancreatography (MRCP) disclosed diffuse dilatation of the intrahepatic and extrahepatic bile ducts. Endoscopic retrograde cholan...

Carpenter, LL.M. , Joanna Depledge , Leila Mead and Lavanya Rajamani, LL.M. . The Editor is Pamela Chasek, Ph.D. and the Managing Editor is Langston James "Kimo" Goree VI . The WWW Content is designed by Andrei Henry . The Sustaining Donors of the Bulletin are the Net...

One-dimensional ZnO nanostructures have great potential applications in the fields of optoelectronic and sensor devices. Therefore, it is really important to realize the controllable growth of one-dimensional ZnO nanostructures and investigate their properties. The main points for this thesis are not only to successfully realize the controllable growth of ZnO nonawires, nanorods and quantum dot...

, Charlotte Salpin , Nicole Schabus , Kira Schmidt , and Elsa Tsioumani . The Digital Editor is Franz Dejon . The Editor is Pamela S. Chasek, Ph.D. and the Director of IISD Reporting Services is Langston James "Kimo" Goree VI . The Operations Manager is Marcela Rojo <...

BACKGROUND To date, the management of common bile duct stones (CBDs) is still controversial. If laparoscopic exploration is performed and biliary decompression is needed after stone removal, the placement of a laparoscopic transpapillary stent shows promising results in avoiding T-tube-related complications. METHODS Between January 2007 and May 2012, a series of 48 patients who underwent bili...

BACKGROUND AND OBJECTIVES Advances in endoscopic techniques have transformed the management of urolithiasis. We sought to evaluate the role of such urological interventions for the treatment of complex biliary calculi. METHODS We conducted a retrospective review of all patients (n=9) undergoing percutaneous holmium laser lithotripsy for complicated biliary calculi over a 4-year period (12/200...

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...