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Can I read Laparoscopic Endobiliary Stenting: a Simplified Approach to the Management of Occult Common Bile Duct Stones on EtoBox?
Laparoscopic Endobiliary Stenting: a Simplified Approach to the Management of Occult Common Bile Duct Stones by Robert D. Fanelli; Keith S. Gersin is a Medicine article available to read on EtoBox.
What is Laparoscopic Endobiliary Stenting: a Simplified Approach to the Management of Occult Common Bile Duct Stones about?
Three years ago we described laparoscopic placement of biliary stems as an adjunct to laparoscopic common bile duct exploration (LCBDE) in 16 patients. We now present a modification of our technique and experience with 48 additional patients. Laparoscopic cholecystectomy with intraoperative fluorocholangiography (LC/IOC) performed in 372 consecutive patients during a 36-month period revealed common bile duct stones (CBDS) in 48 patients (12.9%). In this series, LCBDE was not performed and no attempt was made to clear CBDS prior to transcystic stent placement. Stent placement added 9 to 26 minutes of operative time to LC/IOC alone. Forty-four patients (92%) were discharged after surgery and four (8%) were observed overnight. Outpatient endoscopic retrograde cholangiopancreatography 1 to 4 weeks later succeeded in clearing CBDS in all patients. All stents were retrieved without difficulty and 3-to 36-month follow-up demonstrates no surgical, endoscopic, or stent-related complications to date. Laparoscopic biliary stent placement for the treatment of CBDS is a safe, rapid, technically less challenging alternative to existing methods of LCBDE. It preserves the benefits of minimally inv
Who reads Laparoscopic Endobiliary Stenting: a Simplified Approach to the Management of Occult Common Bile Duct Stones?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Robert D. Fanelli; Keith S. Gersin
- Publisher
- Springer-Verlag; Springer Verlag; Elsevier BV; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc.; Springer Nature (ISSN 1091-255X)
- Published
- 2001
- Language
- EN
- Field
- Medicine (Health Sciences)