Role Of Laparoscope In Common Bile Duct Exploration
JOHN SOBHY ABDOU;
Abstract
Common bile duct (CBD) stones continue to pose a significant problem both to the patient and the surgeon. They increase the morbidity of a patient undergoing cholecystectomy from less than 3% to as much as 10% and almost zero mortality to as high as 30%, (Petelin, 2003).
Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic, (Hungness et al, 2006).
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, (Hungness et al, 2006).
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, (Petelin, 2003).
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, (Hungness et al, 2006).
Patients presenting with CBDS have symptoms including: biliary colic, jaundice, cholangitis, pancreatitis or may be asymptomatic, (Hungness et al, 2006).
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, (Hungness et al, 2006).
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, (Petelin, 2003).
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, (Hungness et al, 2006).
Other data
| Title | Role Of Laparoscope In Common Bile Duct Exploration | Other Titles | دور منظار البطن الجراحى فى إستكشاف القنوات المرارية | Authors | JOHN SOBHY ABDOU | Issue Date | 2014 |
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