Choledocholithiasis Clinical Trial
Official title:
Impact of Choledochotomy Techniques During Laparoscopic CBD Exploration on Short- and Long-term Clinical Outcomes: Time to Change Concepts
complications after laparoscopic common bile duct exploration (LCBDE) regarding the choledochotomy technique have not been adequately studied in the literature. Therefore, this study aimed to retrospectively analyze and compare the impact of choledochotomy techniques during LCBDE among patients with choledocholithiasis during the early and late postoperative periods.
Background: complications after laparoscopic common bile duct exploration (LCBDE) regarding
the choledochotomy technique have not been adequately studied in the literature. Therefore,
this study aimed to retrospectively analyze and compare the impact of choledochotomy
techniques during LCBDE among patients with choledocholithiasis during the early and late
postoperative periods.
Methods: from March 2014 to February 2018, 85 patients with choledocholithiasis (52 females
and 33 males) were enrolled in this study. These patients were treated by LCBDE using various
choledochotomy techniques, including scalpel or scissor (28 patients, 33%) in group I, using
diathermy hook (35 patients, 41%) in group II, or using an ultrasonic device (22 patients, 26
%) in group III. Postoperative follow-up was done for assessment of all possible
complications either early (within 3-6 months postoperatively), or late (2-6 years
postoperatively) with meticulous observation and study of any relevant postoperative event.
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