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Long-term results after laparoscopic transverse choledochotomy for common bile duct stones

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Abstract

Background

The aim of this study was to evaluate the long-term results of laparoscopic transverse choledochotomy (TC) during laparoscopic cholecystectomy (LC).

Methods

Ductal stones were present in 344 of 3,212 patients (10.7%) who underwent LC. The procedure was completed laparoscopically in 329 cases (95.6%), with a TC in 138 cases (41.9%) (the subjects of this study), and with a transcystic duct approach in 191 cases (58.1%).

Results

Biliary drainage was used in 131 of 138 cases (94.9%). There were major complications in eight patients (5.7%), and one patient died (0.7%). Retained stones were seen in 11 cases (8%). None of the patients was lost to follow-up (mean, 72.3 months; range, 11–145). Ductal stones recurred in five patients (3.6%). No signs of bile stasis and no biliary strictures were observed. In all, 121 patients are alive with no biliary symptoms; 16 have died from unrelated causes.

Conclusion

Long-term follow-up after laparoscopic TC during LC proved its safety and efficacy.

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Authors and Affiliations

  1. Department of General Surgery, University of Ancona, Umberto I Hospital, 60020, Via Conca, Ancona, Italy

    A. M. Paganini, M. Guerrieri, J. Sarnari, A. De Sanctis & G. Lezoche

  2. Department of General Surgery, Surgical Specialties, and Organ Transplantation ‘Paride Stefanini’, Policlinico Umberto I, University of Rome ‘La Sapienza’, Viale del Policlinio 155, 00161, Rome, Italy

    A. M. Paganini, G. D’Ambrosio & E. Lezoche

  3. Istituto Neurotraumatologico Italiano (I.N.I.) Canistro, Canistro, L’Aquila, Italy

    E. Lezoche

Authors
  1. A. M. Paganini
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  2. M. Guerrieri
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  3. J. Sarnari
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  4. A. De Sanctis
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  5. G. D’Ambrosio
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  6. G. Lezoche
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  7. E. Lezoche
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Corresponding author

Correspondence to A. M. Paganini.

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Paganini, A.M., Guerrieri, M., Sarnari, J. et al. Long-term results after laparoscopic transverse choledochotomy for common bile duct stones. Surg Endosc 19, 705–709 (2005). https://doi.org/10.1007/s00464-004-8944-4

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  • DOI: https://doi.org/10.1007/s00464-004-8944-4

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