Laparoscopic common bile duct exploration by choleoochotomy

James P. Dorman

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Choledocholhhiasis uncomplicated by acute ascending cholangitis is being treated by a two step approach involving two separate teams of specialized care resulting in more expense and potentiating possible complications. Laparoscopic common bile duct exploration by choledochotomy is a capable means of managing this problem in a one step fashion. The experience with 137 patients has resulted in a 94.1% success rate in technically clearing the common bile duct with a 2.2% retained stone rate all of which were removed by postoperative endoscopic retrograde cholangio pancreatography. Conversion to open procedure was in five patients (3.6%). Laparoscopic common bile duct exploration by choledochotomy depends on routine intraoperative fluorocholangiography (99.7% successful) and is especially useful with proximal stones or multiple, large stones.

Original languageEnglish (US)
Pages (from-to)34-41
Number of pages8
JournalSeminars in Laparoscopic Surgery
Volume4
Issue number1
StatePublished - 1997
Externally publishedYes

Keywords

  • Choledochotomy
  • Common bile duct exploration
  • Laparoscopy

ASJC Scopus subject areas

  • Surgery

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