Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom

Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom

BACKGROUND:The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. METH...

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Published in:Surgical laparoscopy, endoscopy & percutaneous techniques Vol. 29; no. 2; pp. 113 - 116
Main Authors: Deytrikh, Andrew, Stewart, Sabrina, Malone, Nicholas, McTaggart, Eleanor, Leeder, Paul, Bhatti, Imran, Awan, Altaf
Format: Journal Article
Language:English
Published: United States Copyright Wolters Kluwer Health, Inc. All rights reserved 01-04-2019
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Abstract BACKGROUND:The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. METHODS:We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Data from all emergency cholecystectomies in our unit, between 2011 to 2016 were collected and analyzed retrospectively. RESULTS:In total, 494 patients underwent emergency laparoscopic cholecystectomy; 53 (10.7%) patients underwent common bile duct exploration (CBDE), with 1 conversion and 1 bile leak. Indications for CBDE were based on preoperative imaging (41 cases, 81%) or intra-operative cholangiogram (44 cases, 83%) findings. CONCLUSIONS:Index admission laparoscopic cholecystectomy and concomitant CBDE is safe and should be the gold standard treatment for patients presenting with acute biliary complications, reducing readmissions and the need for a 2-stage procedure.
AbstractList The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Data from all emergency cholecystectomies in our unit, between 2011 to 2016 were collected and analyzed retrospectively. In total, 494 patients underwent emergency laparoscopic cholecystectomy; 53 (10.7%) patients underwent common bile duct exploration (CBDE), with 1 conversion and 1 bile leak. Indications for CBDE were based on preoperative imaging (41 cases, 81%) or intra-operative cholangiogram (44 cases, 83%) findings. Index admission laparoscopic cholecystectomy and concomitant CBDE is safe and should be the gold standard treatment for patients presenting with acute biliary complications, reducing readmissions and the need for a 2-stage procedure.
BACKGROUNDThe incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. METHODSWe analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Data from all emergency cholecystectomies in our unit, between 2011 to 2016 were collected and analyzed retrospectively. RESULTSIn total, 494 patients underwent emergency laparoscopic cholecystectomy; 53 (10.7%) patients underwent common bile duct exploration (CBDE), with 1 conversion and 1 bile leak. Indications for CBDE were based on preoperative imaging (41 cases, 81%) or intra-operative cholangiogram (44 cases, 83%) findings. CONCLUSIONSIndex admission laparoscopic cholecystectomy and concomitant CBDE is safe and should be the gold standard treatment for patients presenting with acute biliary complications, reducing readmissions and the need for a 2-stage procedure.
BACKGROUND:The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. METHODS:We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Data from all emergency cholecystectomies in our unit, between 2011 to 2016 were collected and analyzed retrospectively. RESULTS:In total, 494 patients underwent emergency laparoscopic cholecystectomy; 53 (10.7%) patients underwent common bile duct exploration (CBDE), with 1 conversion and 1 bile leak. Indications for CBDE were based on preoperative imaging (41 cases, 81%) or intra-operative cholangiogram (44 cases, 83%) findings. CONCLUSIONS:Index admission laparoscopic cholecystectomy and concomitant CBDE is safe and should be the gold standard treatment for patients presenting with acute biliary complications, reducing readmissions and the need for a 2-stage procedure.
Author Stewart, Sabrina
Leeder, Paul
Malone, Nicholas
McTaggart, Eleanor
Bhatti, Imran
Deytrikh, Andrew
Awan, Altaf
AuthorAffiliation Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
Department of Surgery, Barnsley Hospital, Gawber Road, Barnsley
AuthorAffiliation_xml – name: Department of Surgery, Barnsley Hospital, Gawber Road, Barnsley
– name: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
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  givenname: Andrew
  surname: Deytrikh
  fullname: Deytrikh, Andrew
  organization: Department of Surgery, Barnsley Hospital, Gawber Road, Barnsley
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  givenname: Sabrina
  surname: Stewart
  fullname: Stewart, Sabrina
  organization: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
– sequence: 3
  givenname: Nicholas
  surname: Malone
  fullname: Malone, Nicholas
  organization: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
– sequence: 4
  givenname: Eleanor
  surname: McTaggart
  fullname: McTaggart, Eleanor
  organization: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
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  givenname: Paul
  surname: Leeder
  fullname: Leeder, Paul
  organization: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
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  givenname: Imran
  surname: Bhatti
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  organization: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
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  givenname: Altaf
  surname: Awan
  fullname: Awan, Altaf
  organization: Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30520814$$D View this record in MEDLINE/PubMed
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Snippet BACKGROUND:The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration...
The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD...
BACKGROUNDThe incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of...
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Title Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom
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