Back to Search
Start Over
Multidisciplinary approaches for management of postcholecystectomy problems (surgery, endoscopy, and percutaneous approaches).
- Source :
-
Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2009 Dec; Vol. 19 (6), pp. 459-69. - Publication Year :
- 2009
-
Abstract
- Purpose: A prospective study to evaluate the postcholecystectomy problem management.<br />Patients and Methods: From March 2005 to April 2007, 210 patients were managed using surgery, endoscopy, and percutaneous approaches.<br />Results: Endoscopy was therapeutic in 183 cases [stones (81), stricture (55), leakage (35)], and only diagnostic in 24 cases. Percutaneous approaches were carried out in 34 cases as diagnostic in 19 cases, stenting in 2 cases, and combined with endoscopy in 13 cases. Surgery was carried out in 40 cases either urgent in 10 cases (4.8%), or planned in 30 cases (14.3%), for peritoneal lavage in 7 cases, choledocholithotomy in 8 cases, undo ligation and T-tube drainage in 5 cases, common bile duct repair splinted by T tube in 3 cases, choledochoduodenostomy in 1 case, and Roux-en-Y choledochojejunostomy in 18 cases.<br />Conclusions: Endoscopy is effective and safe not only for diagnostic but also for therapeutic approaches, especially when combined with percutaneous approaches that help in failure cases, but surgery remains as the gold standard treatment not only for the cases, which failed to be treated by less invasive approaches, but also in cases that are mandatory to be explored as peritonitis.
- Subjects :
- Adult
Bile Duct Diseases epidemiology
Bile Duct Diseases etiology
Cholecystectomy, Laparoscopic methods
Cholecystectomy, Laparoscopic statistics & numerical data
Choledocholithiasis diagnosis
Egypt epidemiology
Endoscopy, Gastrointestinal methods
Endoscopy, Gastrointestinal statistics & numerical data
Female
Humans
Incidence
Male
Middle Aged
Postoperative Complications etiology
Postoperative Complications prevention & control
Prospective Studies
Risk Factors
Time Factors
Young Adult
Cholecystectomy, Laparoscopic adverse effects
Choledocholithiasis surgery
Endoscopy, Gastrointestinal adverse effects
Postoperative Complications epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1534-4908
- Volume :
- 19
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Surgical laparoscopy, endoscopy & percutaneous techniques
- Publication Type :
- Academic Journal
- Accession number :
- 20027088
- Full Text :
- https://doi.org/10.1097/SLE.0b013e3181bc4567