• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Emergency Laparoscopic Common Bile Duct Exploration in Acute Cholangitis with Common Bile Duct Stone Patients.

INRTODUCTION There is many modalities in the treatment of common bile duct (CBD) stone. Among the patients who were performed cholecystectomies due to gall bladder stone with acute cholecystitis, about 3-14% cases were accompanied by CBD stone. Under the unavailable situation of ERCP, especially in emergency circumstances, laparoscopic cholecystectomy, choledochotomy, CBD exploration, CBD stone removal, T-tube insertion and intra-operative cholangiogram are effective method to relieve the symptom of acute cholangitis, jaundice and biliary septic condition. METHOD AND PROCEDURE To estimate the operative safty and efficiency of emergency laparoscopic CBD exploration, we planned this study. From the January 2008 to August 2009, 14 patients data were prospectively collected and evaluated. All patients were admitted our hospital by way of emergency department due to fever, biliary colic, jaundice and panceatitis. After routine laboratory analysis and abdominal computed tomography, acute cholangitis with CBD stone was diagnosed. All operations were usually conducted in the night or weekend. The operations were conducted 4-port method. After laparoscopic cholecystectomy, choledochotomy was made by endobovie or endoscissor. The CBD stones were eliminated from CBD by fogarty catheter or stone basket. Generally, fully removal of CBD stones, rubber or silastic type T-tube was inserted in the CBD and then intra-operative cholangiogram was carried out to confirm the residual stone. 2-weeks after the operation, follow-up cholangiogram was performed to check out the residual or recurred stones. RESULTS The male to female ratio was 9:5. The mean age was 65.2 years old. And the mean operation time was 255 minutes. Gas was passed post-operative first day. Diet was started post-operative second day. Two patients were converted to conventional open method due to severe adhesions and inflammation. In the follow-up cholangiogram 2-weeks after surgery, 4 patients were found stones in CBD. They were treated by ERCP. One patient was not need to insert T-tube due to clearance of CBD after exploration, so primary CBD closure was performed. CONCLUSIONS The laparoscopic CBD exploration optimal procedures to relieve the symptoms of acute cholangitis with CBD stones in emergency conditions. Retained stone is also successfully eliminated by ERCP. Through the laparoscopic technique, we can get advantage of minimally invasive surgery and clear up the CBD stone with acute cholangitis without complications in the emergency basis.


Session: Poster

Program Number: P405

View Poster

764

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons