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Revista argentina de cirugía
versão impressa ISSN 2250-639Xversão On-line ISSN 2250-639X
Resumo
CANULLAN, Carlos M. et al. Difficult common bile duct stones. Rev. argent. cir. [online]. 2021, vol.113, n.3, pp.353-358. ISSN 2250-639X. http://dx.doi.org/10.25132/raac.v113.n3.1553.ei.
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.
Palavras-chave : Endoscopic retrograde cholangiopancreatography; Cholelithiasis; Bile duct exploration; Bile duct stones; Biliary stenting; Difficult biliary stones.