• 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
    • 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 at Cine-Med
      • 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

Laparoscopic choledochoduodenostomy as a rescue and reliable procedure for failed ERCP and complicated bile duct stones

P Senthilnathan, R Parthasarathi, S Rajapandian, Anand Vijay, V P Nalankilli, C Palanivelu. GEM Hospital & Research Centre

Background/Rationale: Conventionally, removal of common bile duct stones (CBDS) by endoscopic retrograde cholangiopancreaticography (ERCP) is the standard of care. In failed ERCP due to multiple large CBD calculi or inaccessibility, Laparoscopic common bile duct exploration(LCBDE) is an established option for treating CBDS. The aim is to look at the feasibility of LCBDE and choledochoduodenostomy as a salvage procedure after failed endoscopic bile duct stone extraction, complicated bile duct stones and primary CBD strictures and to examine the short term outcomes of our laparoscopic choledochoduodenostomy series.

Method: We retrospectively reviewed a prospective database, to study the feasibility of LCBDE with choledochoduodenostomy as salvage procedure for failed ERCP and complicated bile duct stones

Result: In our Institution from period of Jan 2013 to October 2015, total number of ERCP done for CBD stones was (n1)=519 out of which failed ERCP account to (n2)=26.

26 patients who failed endoscopic stone extraction due to multiple large CBD calculi( 13), recurrent stones(5), lower CBD stricture(4), impacted primary CBD stone(3), periampullary diverticulum(1). These patients underwent LCBDE and choledochoduodenostomy and achieved successful stone clearance. Average operating time was 135 minutes and average blood loss was 55 ml. Stone clearance was done using direct choledochotomy in 13 patients, Dormia basket was used in 7 patients and balloon extraction was done in 6 patients. Stone clearance was confirmed with either choledochoscope or intraoperative cholangiogram in all patients. One patient developed bile leak which resolved spontaneously. The median length of stay for these 24 patients was five days.

Conclusion: Laparoscopic common bile duct exploration with choledochoduodenostomy has been shown to be safe and effective method for treating complex CBDS with failed ERCP procedures, with added bonus of a short hospital stay and early recovery.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80841

Program Number: P099

Presentation Session: Poster (Non CME)

Presentation Type: Poster

146

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 2023 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