DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20213207

Open bile duct exploration as a therapeutic solution for difficult to manage choledocholithiasis: a case report

Eduardo Poblano Olivares, Brenda Soto Perez, Jorge L. Olmos Gonzalez

Abstract


The most common etiology of bile duct obstruction in patients with cholelithiasis is choledocholithiasis. The diagnosis of cholelithiasis is based on clinical suspicion and confirmed by ultrasound (US) of the liver and bile ducts. The management of bile duct lithiasis has evolved considerably and currently, ERCP is the most common and recommended technique. However, in cases of multiple lithiases, fragmentation of the lithiasis during extraction, excessive preoperative or transoperative handling of the ampullary region, previous stenosis of the ampullary region, juxtapapillary diverticula, primary bile duct stones, or residual intrahepatic stones, a large number of hospitals do not have sufficient resources to perform minimally invasive procedures and offer these therapeutic alternatives instead.

 


Keywords


Choledocholithiasis, Bile duct exploration, Endoscopic retrograde cholangiopancreatography, Laparoscopic cholecystectomy

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References


Phillips EH, Toouli J, Pitt HA, Soper NJ. Treatment of common bile duct stones discovered during cholecystectomy. J Gastrointest Surg. 2008;12(4):624-8.

Ruiz PJ, García MA, Ruescas GF, Jurado RM, Scortechini M, Sagredo RM, et al. Differences between residual and primary choledocholithiasis in cholecystectomy patients. Rev Esp Enferm Dig. 2020;112(8):615-9.

Cardenas G, Perez BB, Rendon CE, Lopez AM, Gonzalez ARA, Rodriguez GV, et al. Tratamiento endoscópico de coledocolitiasis residua. Asociación Mexicana de Cirugía Endoscópica. 2003;4(4):173-83.

Lauri A, Horton RC, Davidson BR, Burroughs AK, Dooley JS. Endoscopic extraction of bile duct stones: management related to stone size. Gut. 1993;34(12):1718-21.

McCune WS, Shorb PE, Moscovitz, H. Endoscopic Cannulation of the Ampulla of Vater: A Preliminary Report. Gastrointest Endoscop. 1988;34(3):278-80.

Almadi MA, Eltayeb M, Thaniah S, Alrashed F, Aljebreen MA, Alharbi OR, et al. Predictors of failure of endoscopic retrograde cholangiography in clearing bile duct stone on the initial procedure. Saudi J Gastroenterol. 2019;25(2):132-8.

Manes G, Paspatis G, Aabakken L, Anderloni A, Arvanitakis M, Soune P, et al. Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2019;51(5):472-91.

ASGE Standards of Practice Committee, Buxbaum JL, Abbas FSM, Sultan S, Fishman DS, Qumseya BJ, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc. 2019;89(6):1075-105.

Feng Y, Zhu H, Chen X, Xu S, Cheng W, Ni J, et al. Comparison of endoscopic papillary large balloon dilation and endoscopic sphincterotomy for retrieval of choledocholithiasis: a meta-analysis of randomized controlled trials. J Gastroenterol. 2012;47(6):655-63.

Sabbah M, Nakhli A, Bellil N, Ouakaa A, Bibani N, Trad D, Elloumi H, et al. Predictors of failure of endoscopic retrograde pancreatocholangiography during common bile duct stones. Heliyon. 2020;6(11):5515.

Grubnik VV, Tkachenko AI, Ilyashenko VV, Vorotyntseva KO. Laparoscopic common bile duct exploration versus open surgery: comparative prospective randomized trial. Surg Endosc. 2012;26(8):2165-71.

Wandling MW, Hungness ES, Pavey ES, Stulberg JJ, Schwab B, Yang AD, et al. Nationwide Assessment of Trends in Choledocholithiasis Management in the United States From 1998 to 2013. JAMA Surg. 2016;151(12):1125-30.

Mohamed A, Helmy M, Gomaa E. Choledochoduodenostomy versus T-tube drainage in patients have stones in common bile duct with risk factors of post-operative missed stones. Int Surg J. 2019;6(12):4343-7.

Darkahi B, Sandblom G, Liljeholm H, Videhult P, Melhus Å, Rasmussen IC. Biliary microflora in patients undergoing cholecystectomy. Surg Infect. 2014;15(3):262-5.

Bayramov N. Comparison of open, laparo-endoscopic and one-stage laparoscopic approaches for treatment of gallbladder and common bile duct stones. Laparosc Endosc Surg Sci. 2017;24(3):85-93.

Soria AV, Carrasco MP, Parrilla PP. Complicaciones relacionadas con el tubo en “T” en cirugía biliar. Cirugia Española. 2000;68(5):486-92.

Zhang W, Li G, Chen YL. Should T-Tube Drainage be Performed for Choledocholithiasis after Laparoscopic Common Bile Duct Exploration? A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Surg Laparosc Endosc Percutan Tech. 2017;27(6):415-23.

Podda M, Polignano FM, Luhmann A, Wilson MS, Kulli C, Tait IS. Systematic review with meta-analysis of studies comparing primary duct closure and T-tube drainage after laparoscopic common bile duct exploration for choledocholithiasis. Surg Endosc. 2016;30(3):845-61.