ArticleSurgical endoscopy2002
Comparison of laparoscopic choledochotomy closure techniques.
Article in Surgical endoscopy, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 58 citations in OpenAlex.
- Is the use of T-tube necessary after laparoscopic choledochotomy?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010Trial
- Comparative study of three common bile duct closure techniques after choledocholithotomy: safety and efficacy.Langenbeck's archives of surgery · 2022Article
- Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches.World journal of gastroenterology · 2021Review
- Comprehensive and innovative techniques for laparoscopic choledocholithotomy: A surgical guide to successfully accomplish this advanced manipulation.World journal of gastroenterology · 2019Review
- Primary Closure Following Laparoscopic Common Bile Duct Exploration Combined with Intraoperative Choledochoscopy and D-J Tube Drainage for Treating Choledocholithiasis.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration.Medicine · 2016Observational
- Results of Medium Seventeen Years' Follow-Up after Laparoscopic Choledochotomy for Ductal Stones.Gastroenterology research and practice · 2016Article
- Use of biliary stent in laparoscopic common bile duct exploration.Surgical endoscopy · 2015Article
- Single-session minimally invasive management of common bile duct stones.World journal of gastroenterology · 2014Article
- Technique for the safe placement of a biodegradable stent into the common bile duct of rabbits.Experimental and therapeutic medicine · 2013Article
- Ten-year experience on common bile duct exploration without T-tube insertion.Korean journal of hepato-biliary-pancreatic surgery · 2013Article
- Laparoscopic common bile duct exploration in patients with previous upper abdominal operations.Korean journal of hepato-biliary-pancreatic surgery · 2012Article
- Repair of bile duct defect with degradable stent and autologous tissue in a porcine model.World journal of gastroenterology · 2012Article
- Primary closure following laparoscopic common bile duct exploration combined with intraoperative cholangiography and choledochoscopy.World journal of surgery · 2012Article
- Sphincter of Oddi-preserving and T-tube-free laparoscopic management of extrahepatic bile duct calculi.World journal of surgery · 2011Article
- Use of rigid nephroscope for laparoscopic common bile duct exploration-a single-center experience.World journal of surgery · 2010Article
- Feasibility of biodegradable PLGA common bile duct stents: an in vitro and in vivo study.Journal of materials science. Materials in medicine · 2009Article
- Trend towards primary closure following laparoscopic exploration of the common bile duct.Annals of the Royal College of Surgeons of England · 2008Article
- Laparoscopic primary choledochorrhaphy over endonasobiliary drainage tubes.Surgical endoscopy · 2007Article
- Antegrade common bile duct (CBD) stenting after laparoscopic CBD exploration.Journal of minimal access surgery · 2007Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic common bile duct exploration (CBDE) has traditionally been accompanied by T-tube drainage. However, other methods of choledochotomy closures have been reported. This study compared three laparoscopic methods of choledochotomy closure in a prospective, randomized fashion to determine which method should be the preferred technique.
methodsIn this porcine model, 24 animals initially underwent laparoscopic common bile duct (CBD) clipping to simulate an obstruction. Two days later, the animals underwent laparoscopic clip removal and simulated CBDE through a 1.5-cm choledochotomy. The animals were then randomized to one of three groups: primary choledochotomy closure (group I), antegrade CBD stenting with primary closure (group II), or T-tube placement (group III). To assess for CBD stenoses and leaks, the animals were killed 2 months postoperatively, at which time a cholangiogram was performed and the bile duct harvested. The ratio of proximal CBD to choledochotomy site was assessed radiographically and histologically.
resultsThe operative time was significantly longer in group III (200 +/- 13 min, p < 0.05) than in group I (141 +/- 17 min) and group II (154 +/- 16 min). The ratio of the proximal CBD diameter to the choledochotomy site diameter by cholangiogram was 2.1:1.0 in group I, to 1.2:1.0 in group II, and 1.1:1.0 in group III (p < 0.01). The ratio of the proximal CBD intraluminal area to the choledochotomy site intraluminal area was 2.1:1.0 in group I compared to 1.1:1.0 in groups II and III (p < 0.01). None of the animals developed jaundice or sepsis.
conclusionSignificant stenoses were present at the choledochotomy site in the primary closure group, and T-tube placement resulted in prolonged operative times. We conclude that laparoscopic antegrade CBD stenting with primary closure of the choledochotomy site is the preferred technique after choledochotomy in an animal model. Further assessment in a clinical trial is warranted.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.