Common bile duct (CBD) stones are present in 5–15% of patients with gallstones. Some of these patients are candidates for a definitive biliary drainage procedure for prevention of stone recurrence. The aim of our study was to ascertain the outcome of laparoscopic choledochoduodenostomy in choledocholithiasis. After obtaining ethical clearance from the institutional ethical committee, the present prospective and observational study was conducted on 32 patients over a period from September 2017 to September 2020 in the tertiary care hospital. In our study, the total number of patients was 32, of whom 26 (81%) were females. The mean and range of age were 54.44 SD 10.827 and 24–70 years, respectively. The most common presenting feature was jaundice (53.125%). The mean CBD diameter was 24.59 SD 2.564 mm with multiple stones in CBD in 90.625% of our patients. The mean duration of surgery and intraoperative blood loss was 147.94 SD 9.732 and 76.25 SD 12.636 ml, respectively. The mean hospital stay was 6.34 SD 0.827 days with 90.6% of the patients returning to work in the 3rd week. In our study, there was no conversion to open and a single patient developed postoperative ileus which was managed conservatively. There was complete resolution of symptoms on follow-up. Laparoscopic choledochoduodenostomy is safe for benign bile duct diseases. It is physiological, with minimal intraoperative blood loss, less operative time, and fewer postoperative complications and is safe with faster recovery.
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Ko CW, Lee SP (2002) Epidemiology and natural history of common bile duct stones and prediction of disease. Gastrointest Endose 56:165–169
Verbesey JE, Birkett DH (2008) Common bile duct exploration for choledocholithiasis. Surg Clin North Am 88:1315–1328
Horwood J, Akbar F, Davis K, Morgan R (2010) Prospective evaluation of a selective approach to cholangiography for suspected common bile duct stones. Ann R Coll SurgEngl 92:206–210
Sabiston textbook of surgery: the biological basis of modern surgical practic. In: Townsend CM, Beauchamp RD Jr, Evers BM, Mattox KL (eds) 20th edn. p 1494–1495
Bansal VK, Misra MC, Rajan K, Kilambi R, Kumar S, Krishna A, Kumar A, Pandav CS, Subramaniam R, Arora MK, Garg PK (2014) Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial. Surg Endosc 28:875–885
Tinoco R, El-Kadre L, Tinoco A (1999) Laparoscopic choledochoduodenostomy. J Laparoendosc Adv Surg Tech A 9:123–126
Tang CN, Siu WT, Ha JP, Tai CK, Tsui KK, Li MK (2007) Laparoscopicbiliary bypass—a single centre experience. Hepatogastroenterology 54:503–507
Bektas H, Duzkoylu Y, Cakar E, K Buyukasık, Colak S. Giant choledochal calculosis: surgical treatment. 2014. https://doi.org/10.4103/1947-2714.143286
Panis Y, Fagniez PL, Brisset D, Lacaine F, Levard H, Hay JM (1993) Long term results of choledochoduodenostomy versus choledochojejunostomy for choledocholithiasis. The French Association for Surgical Research. Surg Gynecol Obstet 177:33–37
Canena J (2018) Once upon a time a guideline was used for the evaluation of suspected choledocholithiasis: a fairy tale or a nightmare. GE Port J Gastroenterol 25(1):6–9
Magalhães J, Rosa B, Cotter J (2015) Endoscopic retrograde cholangiopancreatography for suspected choledocholithiasis: from guidelines to clinical practice. World J Gastrointest Endosc 7(2):128–134
Ghazal AH, Sorour MA, El-Riwini M, El-Bahrawy H (2009) Single-step treatment of gall bladder and bile duct stones: a combined endoscopic–laparoscopic technique. Int J Surg 7(4):338–346
de Aretxabala X, Bahamondes JC (1998) Choledochoduodenostomy for common bile duct stones. World J Surg 22(11):1171–1174
Martin DJ, Vernon D, Toouli J (2006) Surgical versus endoscopic treatment of bile duct stones. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews. Chichester, John Wiley & Sons, Ltd
Jagdish Chander MS, Vivek Mangla MC, Vindal A, Lal P, Ramteke VK (2012 ª Mary Ann Liebert, Inc) Laparoscopic choledochoduodenostomy for biliary stone disease: a single-center 10-year experience. J Laparoendosc Adv Surg Tech 22(1):81–84. https://doi.org/10.1089/lap.2011.0366
Tang CN, Siu WT, Ha JP, Li MK (2003) Laparoscopic choledochoduodenostomy: an effective drainage procedure for recurrent pyogenic cholangitis. Surg Endosc 17:1590–1594
Sarli L, Pietra N, Franzé A, Colla G, Costi R, Gobbi S, Trivelli M (1999) Routine intravenous cholangiography, selective ERCP, and endoscopic treatment of bile duct stones before laparoscopic cholecystectomy. Gastrointest Endosc 50(2):200–208
Priego P. Laparoscopic choledochoduodenostomy in the management of obstructive biliary tract in the ERCP era. Remedy Publications LLC., | http://clinicsinsurgery.com/ 2016 | Volume 1 | Article 1182
Kays JK, Koniaris LG, Milgrom DP, Nakeeb A (2018) Biliary bypass with laparoscopic choledochoduodenostomy. J Gastrointest Surg 22(5):928–933. https://doi.org/10.1007/s11605-017-3663-z
Okamoto H, Maruyama S, Takahashi K, Kawashima K, Fukasawa T, Fujii H (2017) Laparoscopic choledochoduodenostomy for biliary alleviation. Surg Sci 8:65–72 http://www.scirp.org/journal/ss. https://doi.org/10.4236/ss.2017.82008
Bayramov NY, Omarov TI, Zeynalov NA, Aslanova KD, Pashazadeh VA (2013) Laparoscopic choledochoduodenostomy for treatment of benign common bile duct strictures. World J Med Sci 8(4):396–400. https://doi.org/10.5829/idosi.wjms.2013.8.4.1127
Senthilnathan P et al Laparoscopic choledochoduodenostomy as a reliable rescue procedure for complicated bile duct stones. Surg Endosc. https://doi.org/10.1007/s00464-017-5868-3
Gupta BS (2003) Choledochoduodenostomy: a study of 28 consecutive cases. Kathmandu Univ Med J 2, No. 3, (7):193–197
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Attri, M.R., Bhardwaj, R., Kumar, I.A. et al. Laparoscopic Choledochoduodenostomy in Bile Duct Stone Diseases. Indian J Surg (2021). https://doi.org/10.1007/s12262-021-02768-4
- Laparoscopic choledochoduodenostomy
- Common bile duct
- Drainage procedure