Open AccessDifficult common bile duct stones
Author(s) -
Carlos Canullán,
AUTHOR_ID,
Enrique Petracchi,
Nicolás Baglietto,
Hugo Zandalazini,
Bernabé M. Quesada,
Pablo Merchán del Hierro,
Carlos Ocampo
Publication year - 2021
Publication title -
revista argentina de cirugía/revista argentina de cirugía
Language(s) - English
Resource type - Journals
eISSN - 2250-639X
pISSN - 0048-7600
DOI - 10.25132/raac.v113.n3.1553.ei
Subject(s) - medicine , common bile duct , cholangiography , laparoscopy , common bile duct stone , bile duct , general surgery , surgery , stage (stratigraphy) , paleontology , biology
Background: Single-stage procedure for the treatment of choledocholithiasis by laparoscopy is associated with high success rate in most cases. Difficult common bile duct stones are an exception to this rule. Objective: The aim of this study is to describe the results obtained with the management of difficult common bile duct stones. Material and methods: We conducted a retrospective review of a consecutive series of cases of difficult common bile duct stones treated between 2018-2020. Results: Eight patients fulfilled the inclusion criteria. Of the 5 patients managed with single-stage approach through video-assisted laparoscopy, 60% required conversion to open surgery. The other 3 cases were initially managed with endoscopic cholangiography due to severe cholangitis and were solved with elective transcystic instrumentation. Conclusion: This initial experience suggests that the two-stage approach could be better to treat difficult common bile duct stones with a minimally invasive approach.