Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review

Gastroenterology Research and Practice - Tập 2009 - Trang 1-12 - 2009
Abolfazl Shojaiefard1, Majid Esmaeilzadeh2, Ali Ghafouri1, Arianeb Mehrabi2
1Department of Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
2Department of General, Visceral and Transplantation Surgery, University of Heidelberg, 69120 Heidelberg, Germany

Tóm tắt

Common bile duct stones (CBDSs) may occur in up to 3%–14.7% of all patients for whom cholecystectomy is preformed. Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic. It is important to distinguish between primary and secondary stones, because the treatment approach varies. Stones found before, during, and after cholecystectomy had also differing treatments. Different methods have been used for the treatment of CBDS but the suitable therapy depends on conditions such as patient' satisfaction, number and size of stones, and the surgeons experience in laparoscopy. Endoscopic retrograde cholangiopancreatography with or without endoscopic biliary sphincterotomy, laparoscopic CBD exploration (transcystic or transcholedochal), or laparotomy with CBD exploration (by T-tube, C-tube insertion, or primary closure) are the most commonly used methods managing CBDS. We will review the pathophysiology of CBDS, diagnosis, and different techniques of treatment with especial focus on the various surgical modalities.

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Gastroenterology Research and Practice

Tập 2009

1-12

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