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The Effectiveness of a Preoperative Endoscopic Sphincterotomy before the Laparoscopic Cholecystectomy / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy ; : 340-344, 1998.
Artigo em Coreano | WPRIM | ID: wpr-52995
ABSTRACT
BACKGROUND/

AIMS:

There are some options which exist in the optimal treatment of Common Bile Duct (CBD) stones. The management of CBD stones by a preoperative Endoscopic Sphincterotomy (EST) and a Laparoscopic Cholecystectomy (LC) remains controveraial. This study intends to investigate the value of an EST before an LC in patients with CBD stones compared with a conventional Open Cholecystectomy (OC) with a Common Bile Duct Exploration (CBDE).

METHODS:

Sixty three patients underwent an EST before an LC, while 65 patients received an OC with a CBDE were reviewed retrospectively for a 42 month period from January, 1993 to June, 1996.

RESULTS:

There was no statistical significance of stone numbers and sizes in both groups (p>0.05), but the EST before the LC group a showed a shorter hospital stay (12.2 days19.8 days, p 0.05). Rate of stone recurrence and remnant stones in the OC with CBDE group (50.8%) was ater than the EST before LC group (25.4%)(p <0.05). The total hospitalization fee in the EST before LC group was lesser than the OC with CBDE group (p<0.05).

CONCLUSIONS:

An EST before an LC is a valuable option for patients with gall stones and simultaneous choledocholithiasis and is suitable according to recent trends in the minimal invasive approach. It needs however, larger group evaluation in order to determine the accurate indications and proper patient selection for this procedure.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Recidiva / Colecistectomia / Cálculos Biliares / Estudos Retrospectivos / Esfinterotomia Endoscópica / Colecistectomia Laparoscópica / Ducto Colédoco / Seleção de Pacientes / Coledocolitíase / Honorários e Preços Tipo de estudo: Avaliação Econômica em Saúde / Estudo observacional Limite: Humanos Idioma: Coreano Revista: Korean Journal of Gastrointestinal Endoscopy Ano de publicação: 1998 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Recidiva / Colecistectomia / Cálculos Biliares / Estudos Retrospectivos / Esfinterotomia Endoscópica / Colecistectomia Laparoscópica / Ducto Colédoco / Seleção de Pacientes / Coledocolitíase / Honorários e Preços Tipo de estudo: Avaliação Econômica em Saúde / Estudo observacional Limite: Humanos Idioma: Coreano Revista: Korean Journal of Gastrointestinal Endoscopy Ano de publicação: 1998 Tipo de documento: Artigo