Abstract: Objective: To determine the efficacy, safety and outcome of the laparoscopic common bile duct exploration.
Material and method: This study was conducted in the department of surgery at I.G.M.C.,Shimla from 1st June, 2014 to 31st May, 2015 and included 20 patients with cholelithiasis and choledocholithiasis. The male/female ratio was 6/14, with a mean age 53.50 years (range 20 to 70 years). Preoperative evaluation was done through medical history, biochemical tests, ultrasonography and magnetic resonance cholangiopanceatography(MRCP). Laparoscopic common bile duct exploration was done via choledochotomy in all patients.
Results: The mean time taken for procedure was 111.75 minutes and the average gas (CO2) consumed was 92.3 litres. Postoperative complications were observed in 2 (10%) patients. In 2 (10%) patients completion of the procedure was achieved by conversion to open choledocholithotomy. Mean hospital stay was 6.75 days.
Conclusions: Laparoscopic common bile duct exploration has definitely shown decreased post-operative discomfort, decreased requirement of post-operative analgesia, better cosmesis and early return to work and less morbidity.
Keywords: alkaline phosphatase (ALP), common bile duct (CBD), endoscopic retrograde cholangiopancreatography (ERCP), magnatic resonance cholangiopancreatography (MRCP).
Title: Laparoscopic Management of Common Bile Duct Stones: An Initial Experience in Our Institution
Author: Sandeep Rajta, R.S.Jhobta, D.K.Verma
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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