Common bile duct clearance of stones by surgery, endoscopy and laparoscopy : comparative study
Other Title(s)
إخلاء القناة المرارية الرئيسية من الحصوات باستخدام الجراحة المعتادة، المنظار التداخلي و منظار البطن الجراحي
Joint Authors
Radwan, Ala Ahmad
Hamad, Mustafa Ahmad
Asim, Midhat Ahmad
Source
Issue
Vol. 28, Issue 3 (30 Sep. 2004), pp.121-138, 18 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2004-09-30
Country of Publication
Egypt
No. of Pages
18
Main Subjects
Topics
Abstract EN
In this study, 70 cases of choledocholithiasis were included from general surgery department, Assuit university hospital and Kasr El-Eni university hospital and managed randomly by either conventional surgical techniques, endoscopic techniques, or laparoscopic techniques.
Ages of our patients ranged from 20-60 years (mean 40 years), with slight female predominance (female to male = 1.6: I).
Most of them presented with calcular obstructive jaundice (54.3%), however other presentations have been also encountered as colic, cholangitis, or accidental discovery in 14.3, 10, 21.5% respectively.
Group I (Surgery) included 30 patients (42.9%) who were treated by open choledocholithotomy and Ttube insertion, the mean operative time was 90 (60-180) min.
with success rate of the attempted procedures reaching 100%, and CBD clearance of stones was achieved in 96% of cases.
Hospital stay was 8 (5-12) days, with no mortality.
Morbidity rate reached 13% and was in the form of wound infection, bile leak, missed stone, and CBD stricture with jaundice.
The patient could return to work after 2 weeks (12-20 days).
Group II (Endoscopy) included 30 cases (42.9%) treated by endoscopic sphincterotomy and basket extraction in 46%, balloon in 26.6%, combined maneuver in 16.6%, mechanical lithotrepsy in 13.3%, with failure of the technique in one case (3.3%).
The mean procedure time was about 30 (20-45) min.
with success rate of attempted procedure 96.7% and CBD clearance of stones was achieved by 100%, with no mortality.
Morbidity rate of 10% was in the form of cholangitis (3.3%) and hyperamylasemia (6.6%).
The period of hospital stay was 1 (1-2) days, and patient returned to work after 4 (3-5) days.
Group 111 (Laparoscopy) included 10 cases (14.2%) treated by laparoscopic approaches in the form of trans-cystic approaches in 2 cases, trans-choledochotomy approaches in 3 cases, choledochoscopy techniques in 2 cases, and converted to open techniques with failure of the attempt in 3 cases.
The time needed for this procedure was 123 (70-292) min.
with success rate about 70%, but CBD clearance of stones reaches 100%, with no mortality.
Morbidity rate was about 20% and was in the form of hypothermia and hyperamylasemia.
The period of hospital stay was 3.2 (2-4) days with return to the work after 12 (5-15) days.
American Psychological Association (APA)
Radwan, Ala Ahmad& Hamad, Mustafa Ahmad& Asim, Midhat Ahmad. 2004. Common bile duct clearance of stones by surgery, endoscopy and laparoscopy : comparative study. Assiut Medical Journal،Vol. 28, no. 3, pp.121-138.
https://search.emarefa.net/detail/BIM-52924
Modern Language Association (MLA)
Radwan, Ala Ahmad…[et al.]. Common bile duct clearance of stones by surgery, endoscopy and laparoscopy : comparative study. Assiut Medical Journal Vol. 28, no. 3(Sep. 2004), pp.121-138.
https://search.emarefa.net/detail/BIM-52924
American Medical Association (AMA)
Radwan, Ala Ahmad& Hamad, Mustafa Ahmad& Asim, Midhat Ahmad. Common bile duct clearance of stones by surgery, endoscopy and laparoscopy : comparative study. Assiut Medical Journal. 2004. Vol. 28, no. 3, pp.121-138.
https://search.emarefa.net/detail/BIM-52924
Data Type
Journal Articles
Language
English
Notes
Text in English, abstracts in Arabic & English
Record ID
BIM-52924