Daniel Gomez, MD. ENDOOLAP
Introduction:CBD exploration are still performed by laparotomy with choledochotomy plus T tube placement after CBD stones removal subsequiently to failed ERCP in a large number of cases due to the technical challenges in the laparoscopic approach.
Methods: From January 2014 to August 2016, 49 consecutive patients with common bile duct stones (CBDS) including gallbladder in or not in situ, undergo to laparoscopic common bile duct exploration with primary closure after failed ERCP. Records were reviewed and analyzed for demographic data, mean operative time, blood loss, intra or postoperative complications and hospital stay.
Results: All procedures were carried out succesfully with no conversions registered
Mean operative time: 68.2 minutes
Blood loss was less than 15 cc
We registered no major complications or re-interventions
2 patients required stenting for biliary fistula with succesfull closure
Media hospital stay was 54 hours
Conclusions: Laparoscopic common bile duct exploration with primary closure after failed ERCP is a feasible and safe surgical approach as demonstrated in this case series.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80759
Program Number: P126
Presentation Session: Poster (Non CME)
Presentation Type: Poster
