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Recurrence of common bile duct stones following laparoscopic common bile duct exploration: a multicenter study
Author(s) -
Park Sun Young,
Hong Tae Ho,
Lee Sang Kuon,
Park Il Young,
Kim Tae Hyeon,
Kim Sung Geun
Publication year - 2019
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.675
Subject(s) - medicine , common bile duct , laparoscopic cholecystectomy , endoscopic retrograde cholangiopancreatography , univariate analysis , logistic regression , cholecystectomy , demographics , surgery , gastroenterology , general surgery , multivariate analysis , pancreatitis , demography , sociology
Background Recurrence of common bile duct stone (CBDS) is not common after laparoscopic common bile duct exploration (LCBDE). This study aimed to investigate the risk factors of recurrence of CBDS after LCBDE. Methods Patients who underwent LCBDE between January 2001 and December 2018 in four teaching hospitals of The Catholic University of Korea were included. The operation, fluoroscopy, and endoscopic retrograde cholangiopancreatography records were investigated retrospectively. The primary outcome of this study was the independent risk factors for recurrence of CBDS. Results A total of 230 patients were included in this study. Thirty‐one patients had recurrence of CBDS. In univariate analysis, CBDS size (>9 mm) ( P = 0.003), multiple stones (≥2) ( P = 0.031), stone size (≥1.5 cm) ( P = 0.041), CBD diameter (≥12 mm) ( P = 0.005), CBD dilatation (≥10 mm) ( P = 0.02), prior history of laparoscopic cholecystectomy ( P = 0.002) were associated with recurrence. After multivariable logistic regression, CBDS size (>9 mm) (OR 4.67, 95% CI 1.35–16.18, P = 0.011), CBD dilatation (≥10 mm) (OR 5.66, 95% CI 1.47–21.82, P = 0.012), and prior history of laparoscopic cholecystectomy (AOR 3. 90, 95% CI 1.34–11.37, P = 0.013) were associated with recurrence. Conclusions Stone size >9 mm, CBD diameter ≥10 mm, and prior history of laparoscopic cholecystectomy were risk factors for recurrence of CBDS after LCBDE.