Laparoscopic choledochotomy for bile duct stones

Shuji Shimizu, Kazunori Yokohata, Kazuhiro Mizumoto, Koji Yamaguchi, Kazuo Chijiiwa, Masao Tanaka

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

In the era of laparoscopic surgery, treatment strategies for common bile duct stones remain controversial. Laparoscopic choledochotomy is usually indicated only when transcystic duct exploration is not feasible. However, laparoscopic choledochotomy provides complete access to the ductal system and has a higher clearance rate than the transcystic approach. In addition, primary closure of the choledochotomy with a running suture and absorbable clips facilitates the procedure. Therefore, to avoid postoperative biliary stenosis, all patients with bile duct stones can be indicated for choledochotomy, except for those with nondilated common bile duct. Placement of a C-tube also provides access for the clearance of possible retained stones by endoscopic sphincterotomy as a backup procedure. C-tube placement, in contrast to T-tube insertion, is advantageous in terms of a relatively short hospital stay. In conclusion, laparoscopic choledochotomy with C-tube drainage is recommended as the treatment of choice for patients with common bile duct stones.

Original languageEnglish
Pages (from-to)201-205
Number of pages5
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume9
Issue number2
DOIs
Publication statusPublished - Jul 2 2002

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

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