Results of Medium Seventeen Years’ Follow-Up after Laparoscopic Choledochotomy for Ductal Stones
Joint Authors
Quaresima, Silvia
Balla, Andrea
Guerrieri, Mario
Lezoche, Giovanni
Campagnacci, Roberto
D’Ambrosio, Giancarlo
Paganini, Alessandro M.
Lezoche, E.
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-03
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
In a previously published article the authors reported the long-term follow-up results in 138 consecutive patients with gallstones and common bile duct (CBD) stones who underwent laparoscopic transverse choledochotomy (TC) with T-tube biliary drainage and laparoscopic cholecystectomy (LC).
Aim of this study is to evaluate the results at up to 23 years of follow-up in the same series.
Methods.
One hundred twenty-one patients are the object of the present study.
Patients were evaluated by clinical visit, blood assay, and abdominal ultrasound.
Symptomatic patients underwent cholangio-MRI, followed by endoscopic retrograde cholangiopancreatography (ERCP) as required.
Results.
Out of 121 patients, 61 elderly patients died from unrelated causes.
Fourteen patients were lost to follow-up.
In the 46 remaining patients, ductal stone recurrence occurred in one case (2,1%) successfully managed by ERCP with endoscopic sphincterotomy.
At a mean follow-up of 17.1 years no other patients showed signs of bile stasis and no patient showed any imaging evidence of CBD stricture at the site of choledochotomy.
Conclusions.
Laparoscopic transverse choledochotomy with routine T-tube biliary drainage during LC has proven to be safe and effective at up to 23 years of follow-up, with no evidence of CBD stricture when the procedure is performed with a correct technique.
American Psychological Association (APA)
Quaresima, Silvia& Balla, Andrea& Guerrieri, Mario& Lezoche, Giovanni& Campagnacci, Roberto& D’Ambrosio, Giancarlo…[et al.]. 2016. Results of Medium Seventeen Years’ Follow-Up after Laparoscopic Choledochotomy for Ductal Stones. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1104843
Modern Language Association (MLA)
Quaresima, Silvia…[et al.]. Results of Medium Seventeen Years’ Follow-Up after Laparoscopic Choledochotomy for Ductal Stones. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1104843
American Medical Association (AMA)
Quaresima, Silvia& Balla, Andrea& Guerrieri, Mario& Lezoche, Giovanni& Campagnacci, Roberto& D’Ambrosio, Giancarlo…[et al.]. Results of Medium Seventeen Years’ Follow-Up after Laparoscopic Choledochotomy for Ductal Stones. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1104843
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104843