Skip to main content
SpringerLink
Log in

Flow Chart for the Treatment of CBDS and Critical Comparison of Techniques

  • Chapter
Book cover Biliary Lithiasis

  • 1495 Accesses

Abstract

The most common techniques for the treatment of common bile duct (CBD) stones have been outlined in detail in the preceding four chapters. In this chapter we evaluate the published evidence for these techniques and provide conclusions with clinical validity for practicing physicians. We have summarised these findings with the use of a flow diagram (Fig. 27.1) for quick reference to help guide evidence-and expertise-based management.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Martin DJ, Vernon DR, Toouli J (2006) Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev Apr 19:2

    Google Scholar 

  2. Ko CW, Lee SP (2002) Epidemiology and natural history of common bile duct stones and prediction of disease. Review. Gastrointest Endosc 56:S165–S169

    Article  PubMed  Google Scholar 

  3. Lund J (1960) Surgical indications in cholelithiasis: prophylactic cholecystectomy elucidated on the basis of long-term follow up on 526 nonoperated cases. Ann Surg 151:153–162

    Article  PubMed  CAS  Google Scholar 

  4. Wenckert A, Robertson B (1996) The natural course of gallstone disease: eleven-year review of 781 nonoperated cases. Gastroenterology 50:376–381

    Google Scholar 

  5. Martin IJ, Bailey IS, Rhodes M et al (1998) Towards T-tube free laparoscopic bile duct exploration: a methodologic evolution during 300 consecutive procedures. Ann Surg 228:29–34

    Article  PubMed  CAS  Google Scholar 

  6. Hammett I, Martin IJ, Martin DJ et al (2008) Long term outcomes following laparoscopic bile duct exploration: A consecutive 5 year follow-up of 150 patients. ANZ J Surg (in press)

    Google Scholar 

  7. Courvoisier L (1890) Statististische Beitrage zur Pathologie und Chirurgie der Gallenwege [Statistical article on the pathology and surgery of the biliary system]. Leipzig: Vogel 387:57–58

    Google Scholar 

  8. Vitale GC (2007) Early management of acute gallstone pancreatitis. Ann Surg 245:18–19

    Article  PubMed  Google Scholar 

  9. Schulman CI, Levi J, Sleeman D et al (2007) Are we training our residents to perform open gall bladder and common bile duct operations? J Surg Res 142:246–249

    Article  PubMed  Google Scholar 

  10. Sgourakis G, Karaliotas K (2002) Laparoscopic common bile duct exploration and cholecystectomy versus endoscopic stone extraction and laparoscopic cholecystectomy for choledocholithiasis. A prospective randomized study. Minerva Chirurgica 57:467–474

    PubMed  CAS  Google Scholar 

  11. Lella F, Bagnolo F, Rebuffat C et al (1999) E.A.E.S. multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal calculi. Surg Endosc 13:952–957

    Article  Google Scholar 

  12. Rogers S, Cello JP, Horn JK et al (1999) Randomized controlled clinical trial of laparascopic cholecystectomy plus laparoscopic common bile duct exploration (LC+LCBDE) vs ERCP sphincterotomy plus laparascopic cholecystectomy (ERCP/S+LC) for common bile duct stone disease [abstract]. J Gastroenterol Hepato 14 (Suppl): S110

    Google Scholar 

  13. Nathanson LK, O’Rourke NA, Martin IJ et al (2005). Postoperative ERCP versus laparoscopic choledochotomy for clearance of selected bile duct calculi: a randomized trial. Ann Surg 242:188–192

    Article  PubMed  Google Scholar 

  14. Rhodes M, Sussman L, Cohen et al (1998) Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet 351:159–161

    Article  PubMed  CAS  Google Scholar 

  15. Hong DF, Xin Y, Chen DW (2006) Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis. Surg Endosc 20:424–427

    Article  PubMed  Google Scholar 

  16. Wei Q, Wang JG, Li LB, Li JD (2003) Management of choledo-cholithiasis: comparison between laparoscopic common bile duct exploration and intraoperative endoscopic sphincterotomy. World J Gastroenterol 9:2856–2858

    PubMed  Google Scholar 

  17. Rabago LR, Vicente C, Soler F et al (2006) Two-stage treatment with preoperative endoscopic retrograde cholangio pancreatography (ERCP) compared with single-stage treatment with intraoperative ERCP for patients with symptomatic cholelithiasis with possible choledocholithiasis. Endoscopy 38:779–786

    Article  PubMed  CAS  Google Scholar 

  18. Lella F, Bagnolo F, Rebuffat C et al (2006) Use of the laparoscopic-endoscopic approach, the socalled “Rendez-vous” technique, in cholecystocholedocholithiasis: a valid method in cases with patient-related risk factors for post-ERCP pancreatitis. Surg Endosc 20:419–423

    Article  PubMed  CAS  Google Scholar 

  19. Morino M, Baracchi F, Miglietta C et al (2006) Preoperative endoscopic sphincterotomy versus laparoendoscopic Rendez-vous in patients with gallbladder and bile duct stones. Ann Surg 244:889–893

    Article  PubMed  Google Scholar 

  20. Chang L, Lo S, Stabile BE et al (2000) Preoperative versus postoperative endoscopic retrograde cholangiopancreatography in mild to moderate gallstone pancreatitis: a prospective randomized trial. Ann Surg 231:82–87

    Article  PubMed  CAS  Google Scholar 

  21. Tricarico A, Cione G, Sczio M et al (2002) Endolaparoscopic Rendez-vous treatment: a satisfying therapeutic choice for cholecysterctocholedocholithiasis. Surg Endosc 16:585–588

    Article  PubMed  CAS  Google Scholar 

  22. Martin CJ, Cox MR, Vaccaro L (2002) Laparoscopic transcystic bile duct stenting in the management of common bile duct stones. ANZ J Surg 72:258–264

    Article  PubMed  Google Scholar 

  23. Rojas-Ortega S, Arizpe-Bravo D, Marin Lopez ER et al (2003) Transcystic common bile duct exploration in the management of patients with choledocholithiasis. J Gastrointest Surg 7:492–496

    Article  PubMed  Google Scholar 

  24. Topal B, Aerts R, Penninckx F (2007) Laparoscopic common bile duct stone clearance with flexible choledochoscopy. Surg Endosc 21:2317–2321

    Article  PubMed  CAS  Google Scholar 

  25. Bergman JG, Rauws EA, Fockens P et al (1997) Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bile duct stones. Lancet 349:1124–1129

    Article  PubMed  CAS  Google Scholar 

  26. Freeman ML, Nelson DB, Sherman S et al (1996) Complications of endoscopic biliary sphincterotomy. N Engl J Med 335:909–918

    Article  PubMed  CAS  Google Scholar 

  27. Hammarstrom LE, Holmin T, Stridbeck H et al (1995) Long-term follow-up of a prospective randomized study of endoscopic versus surgical treatment of bile duct calculi in patients with gallbladder in situ. Br J Surg 82:1516–1521

    Article  PubMed  CAS  Google Scholar 

  28. Suc B, Escat J, Cherqui et al (1998) Surgery endoscopy as primary treatment in symptomatic patients with suspected common bile duct stones: a multicenter randomized trial. French Associations for Surgical Research. Arch Surg 133:702–708

    Article  PubMed  CAS  Google Scholar 

  29. Targarona EM, Perez Ayuso RM, Bordas JM et al (1996) Randomised trial of endoscopic sphincterotomy with gall bladder left in situ versus open surgery for common bile duct calculi in high risk patients. Lancet 347:926–929

    Article  PubMed  CAS  Google Scholar 

  30. Pereira-Lima JC, Jakobs R, Winter WH et al (1998) Long-term results (7 to 10 years) of endoscopic papillotomy for choledocholithiasis. Multivariate analysis of prognostic factors for the recurrence of biliary symptoms. Gastrointest Endosc 48:457–464

    Article  PubMed  CAS  Google Scholar 

  31. Chen B, Hu SY, Wang L et al (2007) Reoperation of biliary tract by laparoscopy: a consecutive series of 26 cases. Acta Chir Belg. 107:292–296

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Upper GI Surgery, Concord and Royal Prince Alfred Hospitals, Sydney, Australia

    David Martin

  2. Cochrane Hepato-Biliary Group, Copenhagen Trial Unit, Copenhagen, Denmark

    David Martin

  3. Department of Upper GI Surgery, Princess Alexandra Hospital, Brisbane, Australia

    Ian Martin

Authors
  1. David Martin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ian Martin
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Italia

About this chapter

Cite this chapter

Martin, D., Martin, I. (2008). Flow Chart for the Treatment of CBDS and Critical Comparison of Techniques. In: Biliary Lithiasis. Springer, Milano. https://doi.org/10.1007/978-88-470-0763-5_27

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-0763-5_27

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0762-8

  • Online ISBN: 978-88-470-0763-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation