ArticleSurgical endoscopy2011
A study of preoperative factors associated with a poor outcome following laparoscopic bile duct exploration.
Article in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Pooled it
- A nomogram to predict conversion of laparoscopic surgery to laparotomy for Choledocholithiasis.BMC surgery · 2023Trial
- Impact of Jaundice on Outcomes Following Emergency Laparoscopic Cholecystectomy in Patients with Choledocholithiasis.World journal of surgery · 2018Trial
- Transcystic management of choledocholithiasis: Outcomes, factors associated with bile duct injury and implications for surgical practice.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Review
- Antioxidant and hepatoprotective activities ofResearch in pharmaceutical sciences · 2024Article
- A proposed difficulty grading system for laparoscopic bile duct exploration: benefits to clinical practice, training and research.Surgical endoscopy · 2023Article
- Risk factors and consequences of conversion to open surgery in laparoscopic common bile duct exploration.Surgical endoscopy · 2018Article
- Laparoscopic Choledochotomy in a Solitary Common Duct Stone: A Prospective Study.Minimally invasive surgery · 2018Article
- Single-stage procedure for the treatment of cholecysto-choledocolithiasis: a surgical procedures review.Therapeutics and clinical risk management · 2018Review
- Five hundred consecutive laparoscopic common bile duct explorations: 5-year experience at a single institution.Surgical endoscopy · 2017Article
- Laparoscopic common bile duct exploration: 15-year experience in a district general hospital.Surgical endoscopy · 2016Article
- Anti-fibrotic effect of Holothuria arenicola extract against bile duct ligation in rats.BMC complementary and alternative medicine · 2015Article
- An audit of short- and long-term outcomes after laparoscopic removal of common bile duct stones in Finland.Surgical endoscopy · 2014Article
- Results of treatment of patients with gallstone disease and ductal calculi by single-stage laparoscopic cholecystectomy and bile duct exploration.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014Article
- Preoperative factors predicting poor outcomes following laparoscopic choledochotomy: a multivariate analysis study.Canadian journal of surgery. Journal canadien de chirurgie · 2013Article
- Robot-assisted common bile duct exploration as an option for complex choledocholithiasis.Surgical endoscopy · 2013Article
- Comparisons of prediction models of quality of life after laparoscopic cholecystectomy: a longitudinal prospective study.PloS one · 2012Article
- A study of preoperative factors associated with a poor outcome following laparoscopic bile duct exploration.Surgical endoscopy · 2011Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to identify preoperative factors associated with poor outcome following laparoscopic bile duct exploration.
methodsData regarding potential preoperative factors were collected prospectively and from a review of patient records of 436 patients who had undergone a laparoscopic bile duct exploration. A multivariate analysis was performed to identify significant predictors of five adverse outcomes: postoperative complication (stratified), conversion to open operation, prolonged hospital stay, bile leak following choledochotomy, and failure of surgical clearance of the duct.
resultsThe mean age was 57 years (range = 18-91) and 74% were female. No complications were experienced by 66.5% and 17% had a minor Clavien Grade I complication. There was one death. Clinically significant Clavien Grade II-V complications occurred more frequently in those of increasing age [OR = 1.03 (CI = 1.01-1.05), p = 0.02]. Increasing serum bilirubin [OR = 1.01 (CI = 1.00-1.01), p = 0.01] was associated with conversion to an open operation. Male sex [OR = 0.52 (CI = 0.27-0.99), p = 0.05], previous upper abdominal surgery [OR = 4.89 (CI = 1.10-21.74), p = 0.04], immunosuppressants [OR = 9.75 (CI = 1.06-89.93), p = 0.05], and a larger preoperative common bile duct diameter [OR = 1.16 (CI = 1.08-1.25), p < 0.001] were predictors of a prolonged hospital stay. No factors were identified as predictors of a controlled bile leak. Previous failed ERCP was not associated with adverse outcome.
conclusionLaparoscopic exploration of the bile duct is safe but age, comorbidity, and degree of jaundice increase the risk slightly.
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