Full Text:
<2187>
Summary: 
<1671>
CLC number: R657.4
On-line Access: 2024-08-27
Received: 2023-10-17
Revision Accepted: 2024-05-08
Crosschecked: 2019-09-12
Cited: 0
Clicked: 3333
Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage
| ||||||||||||||
Song-mei Lou, Min Zhang, Zheng-rong Wu, Gui-xing Jiang, Hua Shen, Yi Dai, Yue-long Liang, Li-ping Cao, Guo-ping Ding. Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage[J]. Journal of Zhejiang University Science B, 2019, 20(11): 940-944.
@article{title="Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage",
author="Song-mei Lou, Min Zhang, Zheng-rong Wu, Gui-xing Jiang, Hua Shen, Yi Dai, Yue-long Liang, Li-ping Cao, Guo-ping Ding",
journal="Journal of Zhejiang University Science B",
volume="20",
number="11",
pages="940-944",
year="2019",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1900060"
}
%0 Journal Article
%T Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage
%A Song-mei Lou
%A Min Zhang
%A Zheng-rong Wu
%A Gui-xing Jiang
%A Hua Shen
%A Yi Dai
%A Yue-long Liang
%A Li-ping Cao
%A Guo-ping Ding
%J Journal of Zhejiang University SCIENCE B
%V 20
%N 11
%P 940-944
%@ 1673-1581
%D 2019
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1900060
TY - JOUR
T1 - Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage
A1 - Song-mei Lou
A1 - Min Zhang
A1 - Zheng-rong Wu
A1 - Gui-xing Jiang
A1 - Hua Shen
A1 - Yi Dai
A1 - Yue-long Liang
A1 - Li-ping Cao
A1 - Guo-ping Ding
J0 - Journal of Zhejiang University Science B
VL - 20
IS - 11
SP - 940
EP - 944
%@ 1673-1581
Y1 - 2019
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1900060
Abstract: Common bile duct (CBD) stones are a frequent problem in Chinese populations, and their incidence is particularly high in certain areas (Wang et al., 2013). In recent years, laparoscopic common bile duct exploration (LCBDE) and endoscopic retrograde cholangiopancreatography (ERCP) have been the main surgical procedures for CBD stones, although each has different advantages and disadvantages in the treatment of choledocholithiasis (Loor et al., 2017; Zhou et al., 2017). For patients with large stones, a dilated CBD, especially concurrent gallstones, LCBDE is the preferred and most economical minimally invasive procedure (Koc et al., 2013). However, a T-tube is often placed during LCBDE to prevent postoperative bile leakage; this is associated with problems such as bile loss, electrolyte disturbance, and decreased gastric intake (Martin et al., 1998). In addition, the T-tube usually must remain in place for more than a month, during which time the patient’s quality of life is seriously compromised. Many skilled surgeons currently perform primary closure of the CBD following LCBDE, which effectively speeds up rehabilitation (Hua et al., 2015). However, even in sophisticated medical centers, the incidence of postoperative bile leakage still reaches ≥10% (Liu et al., 2017). Especially for a beginner, bile leakage remains a key problem (Kemp Bohan et al., 2017). Therefore, a safe and effective minimally invasive surgical approach to preventing bile leakage during primary closure of the CBD after LCBDE is still urgently needed.
[1]Dietrich A, Alvarez F, Resio N, et al., 2014. Laparoscopic management of common bile duct stones: transpapillary stenting or external biliary drainage? JSLS, 18(4):e2014.00277.
[2]Gupta N, 2016. Role of laparoscopic common bile duct exploration in the management of choledocholithiasis. World J Gastrointest Surg, 8(5):376-381.
[3]Hua J, Lin SP, Qian DH, et al., 2015. Primary closure and rate of bile leak following laparoscopic common bile duct exploration via choledochotomy. Dig Surg, 32(1):1-8.
[4]Kemp Bohan PM, Connelly CR, Crawford J, et al., 2017. Early analysis of laparoscopic common bile duct exploration simulation. Am J Surg, 213(5):888-894.
[5]Koc B, Karahan S, Adas G, et al., 2013. Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study. Am J Surg, 206(4):457-463.
[6]Lee JS, Yoon YC, 2016. Laparoscopic common bile duct exploration using V-Loc suture with insertion of endobiliary stent. Surg Endosc, 30(6):2530-2534.
[7]Liu DB, Cao F, Liu JF, et al., 2017. Risk factors for bile leakage after primary closure following laparoscopic common bile duct exploration: a retrospective cohort study. BMC Surg, 17:1.
[8]Loor MM, Morancy JD, Glover JK, et al., 2017. Single-setting endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy improve the rate of surgical site infection. Surg Endosc, 31(12):5135-5142.
[9]Martin IJ, Bailey IS, Rhodes M, et al., 1998. Towards T-tube free laparoscopic bile duct exploration: a methodologic evolution during 300 consecutive procedures. Ann Surg, 228(1):29-34.
[10]Wang B, Guo ZY, Liu ZJ, et al., 2013. Preoperative versus intraoperative endoscopic sphincterotomy in patients with gallbladder and suspected common bile duct stones: system review and meta-analysis. Surg Endosc, 27(7):2454-2465.
[11]Xu YK, Dong CY, Ma KX, et al., 2016. Spontaneously removed biliary stent drainage versus T-tube drainage after laparoscopic common bile duct exploration. Medicine (Baltimore), 95(39):e5011.
[12]Yi HJ, Hong G, Min SK, et al., 2015. Long-term outcome of primary closure after laparoscopic common bile duct exploration combined with choledochoscopy. Surg Laparosc Endosc Percutan Tech, 25(3):250-253.
[13]Yin P, Wang M, Qin RY, et al., 2017. Intraoperative endoscopic nasobiliary drainage over primary closure of the common bile duct for choledocholithiasis combined with cholecystolithiasis: a cohort study of 211 cases. Surg Endosc, 31(8):3219-3226.
[14]Zhou Y, Zha WZ, Wu XD, et al., 2017. Three modalities on management of choledocholithiasis: a prospective cohort study. Int J Surg, 44:269-273.
ORCID: 
Open peer comments: Debate/Discuss/Question/Opinion
<1>