Laparoscopic Management of CBD Stones with Primary Closure over Endobiliary Stent

International Journal of Medical Science

© 2017 by SSRG - IJMS Journal

Volume 4 Issue 10

Year of Publication : 2017

Authors : Iqbal S. Mir, Farooq A. Reshi, Imtiyaz Ali, Abdul R. Ganae, Shoukat A Kadla, Kulwant S. Bhau, Aftab Akbar, Mohd Yaqoob, Mansoor U. Haq and Sidiqa Banoo

10.14445/23939117/IJMS-V4I10P101

How to Cite?

Iqbal S. Mir, Farooq A. Reshi, Imtiyaz Ali, Abdul R. Ganae, Shoukat A Kadla, Kulwant S. Bhau, Aftab Akbar, Mohd Yaqoob, Mansoor U. Haq and Sidiqa Banoo, "Laparoscopic Management of CBD Stones with Primary Closure over Endobiliary Stent," SSRG International Journal of Medical Science, vol. 4,  no. 10, pp. 1-5, 2017. Crossref, https://doi.org/10.14445/23939117/IJMS-V4I10P101

Abstract:

Background: The concomitant laparoscopic Common Bile Duct exploration with clearance(LCBDE) of CBD stones during cholecystectomy has demonstrated many advantages when compared with other surgical techniques. We study the outcomes of primary CBD closure over endobiliary stent in patients who underwent laparoscopic CBD exploration for CBD stones. Patients and method: we studied retrospectively a series of 38 patients with majority of them being females (26), who underwent LCBDE for CBD stones from May 2009 till June 2017 in our Hospital. Results: No mortality was reported in our study. The CBD clearance rate with laparoscopy was around 89 % in this study with short hospital stay and fewer complications. Patients with residual CBD stones were later removed Endoscopically in the postoperative period without any difficulty or increasing the morbidity. Conclusion: Indeed, laparoscopic CBD exploration is a feasible, effective and safe method. With anterograde stenting during this procedure the morbidity associated with T-Tube is avoided with the same benefit of Biliary Decompression. It should be given preference against T-tube.

Keywords:

 Endobiliary stent,choledocholithiasis, choledochotomy, common bile duct, endoscopic retrograde cholangiopancreatography, nephroscope.

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