Laparoscopic common bile duct exploration (LCBDE) is a cost-effective, efficient, and minimally invasive method of treating choledocholithiasis.
In this study, researchers from the United States assessed the long-term results and efficacy of LCBDE for the common bile duct (CBD) stones, in patients undergoing laparoscopic cholecystectomy (LC).
The research team reviewed the medical charts all patients undergoing LCBDE at St Vincent Hospital over an 11 year period.
They analyzed demographic data, clinical features, laboratory data, radiologic and operative findings, and postoperative follow-up evaluations.
A total of 346 LCBDE were performed during the study period.
|Complications occurred in 10% of patients.|
The researchers determined that the mean operative time was 127 minutes, and the length of hospital stay was 2.8 days.
In 8 patients, LCBDE was converted to an open procedure.
The team found that complications occurred in 33 patients (10%), this included patients (3%) with retained stones.
No postoperative mortalities were recorded.
Furthermore, the team found no long-term strictures or biliary complications during a mean follow-up period of 43 months.
Dr Riciardi’s team concluded, “A policy of routine cholangiography and LCBDE for CBD stones was effective in clearing the bile duct and avoiding further hepatobiliary instrumentation”.
“The findings show that LCBDE can be performed successfully with low morbidity and mortality.”