Impact of choledochotomy techniques during laparoscopic CBD exploration on short- and long-term clinical outcomes: Time to change concepts (a retrospective cohort study).
Background: complications after laparoscopic common bile duct exploration (LCBDE) regarding choledochotomy techniques 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 pati...
| Publicado en: | International Journal of Surgery Vol. 83; pp. 102 - 107 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wolters Kluwer Health
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147118687&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147118687 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17439191 1G3X jtl: International Journal of Surgery issn: 17439191 maglogo: N pubinfo: dt: Nov2020 vid: 83 pid: 79357 pub: Wolters Kluwer Health place: New York, New York artinfo: ui: 147118687 147118687 NLM32949813 147118687 10.1016/j.ijsu.2020.08.043 NLM32949813 147118687 ppf: 102 ppct: 5 formats: tig: atl: Impact of choledochotomy techniques during laparoscopic CBD exploration on short- and long-term clinical outcomes: Time to change concepts (a retrospective cohort study). aug: au: Ahmed, Emad Ali Redwan, Alaa Ahmed affil: Department of General Surgery, Faculty of Medicine, Sohag University, Sohag, 82524, Egypt sug: subj: Cholelithiasis Surgery Laparoscopy Methods Bile Ducts Surgery Biliary Tract Surgical Procedures Methods Postoperative Complications Etiology Middle Age Female Male Aged Adult Biliary Tract Surgical Procedures Adverse Effects Retrospective Design Human Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Female Male ab: Background: complications after laparoscopic common bile duct exploration (LCBDE) regarding choledochotomy techniques 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, diathermy hook (35 patients, 41%) in group II, or an ultrasonic device (22 patients, 26%) in group III. Postoperative follow-up was done for assessment of all possible complications, either early (within the first six months postoperatively) or late (2-6 years postoperatively), with meticulous observation and study of any relevant postoperative events.Results: No statistical difference was detected among the three groups regarding the short- and long-term clinical outcomes, including biliary fistula, biliary stricture, cholangitis, recurrent stones, peritoneal sepsis, wound sepsis, or wound dehiscence.Conclusion: The long-lasting concepts of avoidance of using energy machines such as diathermy and ultrasonic devices with biliary structures should be changed. However, a statistical type I error cannot be excluded because of the small sample size. Therefore, further analysis of prospective randomized studies with a larger number of participants is strongly recommended. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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