The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis

Key Clinical Message Cholecystolithiasis combined with choledocholithiasis represents a prevalent disease. At present, regarding the management of the common bile duct (CBD), T‐tube drainage (TTD) and primary duct closure (PDC) emerge as two prominent approaches for biliary tract repair after laparo...

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Main Authors: Da Teng, Yue Xu, Qingsong Yang, Wenjun Zhang
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.9414
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author Da Teng
Yue Xu
Qingsong Yang
Wenjun Zhang
author_facet Da Teng
Yue Xu
Qingsong Yang
Wenjun Zhang
author_sort Da Teng
collection DOAJ
description Key Clinical Message Cholecystolithiasis combined with choledocholithiasis represents a prevalent disease. At present, regarding the management of the common bile duct (CBD), T‐tube drainage (TTD) and primary duct closure (PDC) emerge as two prominent approaches for biliary tract repair after laparoscopic CBD exploration (LCBDE). Here, retrospective analysis was conducted on the clinical records of 157 patients who underwent LCBDE at our hospital between January 2019 and January 2022. All patients were categorized into the PDC group or the TTD group based on the chosen CBD treatment approach. A comparative assessment was made across demographic factors, preoperative conditions, surgical particulars, and postoperative complications. The results showed that PDC is recommended for patients with a limited number of small stones, particularly when the CBD is in the 10–15 mm diameter range.
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institution Kabale University
issn 2050-0904
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publishDate 2024-09-01
publisher Wiley
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series Clinical Case Reports
spelling doaj-art-1f4c6f7eae9b4276aeaf3858627c773e2024-12-12T10:13:46ZengWileyClinical Case Reports2050-09042024-09-01129n/an/a10.1002/ccr3.9414The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasisDa Teng0Yue Xu1Qingsong Yang2Wenjun Zhang3Department of Hepatobiliary Pancreatic and Splenic Surgery Ward I The Affiliated Chuzhou Hospital of Anhui Medical University (The First People's Hospital of Chuzhou) Chuzhou ChinaDepartment of Ultrasound Medicine The Affiliated Chuzhou Hospital of Anhui Medical University (The First People's Hospital of Chuzhou) Chuzhou ChinaDepartment of Hepatobiliary Pancreatic and Splenic Surgery Ward I The Affiliated Chuzhou Hospital of Anhui Medical University (The First People's Hospital of Chuzhou) Chuzhou ChinaDepartment of Hepatobiliary Pancreatic and Splenic Surgery Ward I The Affiliated Chuzhou Hospital of Anhui Medical University (The First People's Hospital of Chuzhou) Chuzhou ChinaKey Clinical Message Cholecystolithiasis combined with choledocholithiasis represents a prevalent disease. At present, regarding the management of the common bile duct (CBD), T‐tube drainage (TTD) and primary duct closure (PDC) emerge as two prominent approaches for biliary tract repair after laparoscopic CBD exploration (LCBDE). Here, retrospective analysis was conducted on the clinical records of 157 patients who underwent LCBDE at our hospital between January 2019 and January 2022. All patients were categorized into the PDC group or the TTD group based on the chosen CBD treatment approach. A comparative assessment was made across demographic factors, preoperative conditions, surgical particulars, and postoperative complications. The results showed that PDC is recommended for patients with a limited number of small stones, particularly when the CBD is in the 10–15 mm diameter range.https://doi.org/10.1002/ccr3.9414cholecystolithiasischoledocholithiasislaparoscopic common bile duct explorationprimary duct closuret‐tube drainage
spellingShingle Da Teng
Yue Xu
Qingsong Yang
Wenjun Zhang
The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
Clinical Case Reports
cholecystolithiasis
choledocholithiasis
laparoscopic common bile duct exploration
primary duct closure
t‐tube drainage
title The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
title_full The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
title_fullStr The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
title_full_unstemmed The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
title_short The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
title_sort efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis
topic cholecystolithiasis
choledocholithiasis
laparoscopic common bile duct exploration
primary duct closure
t‐tube drainage
url https://doi.org/10.1002/ccr3.9414
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