[Transcystique decompression after laparoscopic exploration of common bile duct: an efficient and safe method]

ABSTRACT

Laparoscopic exploration is one of the modalities of treatment of choledocolithiasis. Modalities of biliary decompression after laparoscopic common bile duct exploration are controversial to assess the benefits, the efficacity and harms of trancystic biliary drainage following laparoscopic common bile duct stone exploration. We report retrospectively twenty patients which were operated in our department by laparoscopy and have done a transcystic biliary drainage. The mean age was 52 years. They were twenty patients [13 women and 7 men]. The median operating time was 165 minutes. Post operative course was uneventful in 17 cases. Biliary complications were present in three patients [2 biliary fistulas and one biliary peritonitis. Residual stones were found in two cases. One of the residual stone was treated with endoscopic sphincterotomy. There were no post operative deaths. There were no biliary stricture and no recurrent ductal stones. Despite of our short experience, the transcystic biliary drainage following laparoscopic management for choledocolithiasis seems to be a safe and an efficient method: