ArticleAnnals of the Royal College of Surgeons of England2008
Trend towards primary closure following laparoscopic exploration of the common bile duct.
Article in Annals of the Royal College of Surgeons of England, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 8 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 8 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Primary duct closure versus T-tube drainage after laparoscopic common bile duct exploration: a meta-analysis.Journal of Zhejiang University. Science. B · 2021Pooled it
- Laparoscopic Transcystic Versus Transductal Common Bile Duct Exploration: A Systematic Review and Meta-analysis.World journal of surgery · 2019Pooled it
- Meta-analysis of laparoscopic transcysticBJS open · 2019Pooled it
- Transcystic versus traditional laparoscopic common bile duct exploration: its advantages and a meta-analysis.Surgical endoscopy · 2018Pooled it
- T-tube drainage versus primary closure after laparoscopic common bile duct exploration.The Cochrane database of systematic reviews · 2013Pooled it
- Primary closure versus T-tube drainage in laparoscopic common bile duct exploration: a meta-analysis of randomized clinical trials.Langenbeck's archives of surgery · 2012Pooled it
- SAGES guidelines for the clinical application of laparoscopic biliary tract surgery.Surgical endoscopy · 2010Guideline
- T-Tube Use After Laparoscopic Common Bile Duct Exploration.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- The "Basket-in-Catheter" technique: facilitating transcystic bile duct exploration and optimising the management of suspected ductal stones.Updates in surgery · 2023Article
- Reinterventions following laparoscopic cholecystectomy and bile duct exploration. A review of prospective data from 5740 patients.Surgical endoscopy · 2022Review
- Laparoscopic common bile duct exploration with primary closure is beneficial for patients with previous upper abdominal surgery.Surgical endoscopy · 2022Article
- Lessons learnt from the first 200 unselected consecutive cases of laparoscopic exploration of common bile duct stones at a district general hospital.Surgical endoscopy · 2021Review
- Laparoscopic choledochoduodenostomy as a reliable rescue procedure for complicated bile duct stones.Surgical endoscopy · 2018Article
- Appropriate Patient Selection Is Essential for the Success of Primary Closure After Laparoscopic Common Bile Duct Exploration.Digestive diseases and sciences · 2017Article
- Risk factors for bile leakage after primary closure following laparoscopic common bile duct exploration: a retrospective cohort study.BMC surgery · 2017Article
- Primary Closure Following Laparoscopic Common Bile Duct Reexploration for the Patients Who Underwent Prior Biliary Operation.The Indian journal of surgery · 2016Article
- The Role of Choledochoscopy in Hepatopancreatobiliary Diseases.The Eurasian journal of medicine · 2016Article
- Use of biliary stent in laparoscopic common bile duct exploration.Surgical endoscopy · 2015Article
- Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy.World journal of gastroenterology · 2014Review
- Minimally invasive treatment of cholecysto-choledocal lithiasis: The point of view of the surgical endoscopist.World journal of gastrointestinal surgery · 2013Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of this study was the assessment of patient outcome, peri-operative complications, length of stay and duration of operation after laparoscopic primary closure of the common bile duct (CBD) compared with choledochotomy with T-tube drainage and trans-cystic exploration. PATIENTS AND
methodsAnalysis of prospectively collected data on 71 explorations of the common bile duct between July 2001 and March 2006.
resultsA total of 71 patients had exploration of the CBD. Within this group, 12 were referred after failed endoscopic retro-grade cholangiopancreatography (ERCP). The methods of exploration included trans-cystic (9 cases), choledochotomy with T-tube (12), and choledochotomy with primary closure (50). CBD stones were found in 66 patients. In the remaining cases, we found a stricture in 1, debris in 2, and dilatation of the CBD without a stone in 2. There were 5 conversions to open technique and 3 patients required postoperative ERCP (1 with permanent stenting). Peri-operative complications included T-tube (3), primary closure group (9), and trans-cystic (0). There was no statistical significant difference (Chi-square test, P = 0.296) between the groups. There was a trend towards a shorter length of stay in the primary closure group as compared with the trans-cystic and T-tube groups of 4.16, 4.44, and 6.33 days, respectively. However, it did not reach statistical significance (one-way analysis of variance with Boneferroni correction, mean difference between groups 1.89, 0.28, 2,17, statistical significance at P < 0.05). The shortest operating time was in the primary closure group (95.92 min) which was statistically significant (P < 0.001). We did not use a biliary drain in the last 48 patients.
conclusionsPrimary laparoscopic closure of the CBD is safe and results in a reduction in operating time. Choledochoscopy ensures clearance of the CBD and eliminates the need for T-tube.
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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.