A prospective review of laparoscopic common bile duct exploration with nephroscope and primary closure without T tube

H. S. Jolly; Sreejith Kannummal Veetil; Binni Sharma; Anshul Dhingra; Aashima  Jain

doi:10.18203/2349-2902.isj20243235

Authors

H. S. Jolly Department of General Surgery, Prolife Hospitals, Ludhiana, Punjab, India
Sreejith Kannummal Veetil Department of General Surgery, Christian Medical College, Ludhiana, Punjab, India
Binni Sharma Bhatti Hospital, Ludhiana, Punjab, India
Anshul Dhingra Department of Anesthesia, Prolife Hospitals, Ludhiana, Punjab, India
Aashima Jain Department of Anesthesia, Prolife Hospitals, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/2349-2902.isj20243235

Keywords:

Laparoscopic, Choledocholithiasis, Cholelithiasis

Abstract

Background: Here we present a pioneering laparoscopic method for common bile duct (CBD) stone management, evaluating its practicality, safety, and effectiveness when employing a nephroscope and omitting the placement of a T tube.

Methods: We have prospectively collected data from 100 patients who underwent exclusive CBD laparoscopic CBD exploration (LCBDE) along with/without laparoscopic cholecystectomy diagnosed to have Cholelithiasis with choledocholithiasis with a radiological CBD diameter of 10mm or more. Mortality, morbidity, hospital stay, and average duration of hospital stay were all assessed.

Results: In this prospective series 100 patients underwent the procedure, of which we had no mortality, of the 100 patients, 4 patients (4%) had bile leak i.e., bile output of more than 100 ml n drain, and 2 patients (2%) needed endoscopic retrograde cholangiopancreatography (ERCP) and stenting. The other 2 patient’s leak settled by itself without any interventions. One patient (1%) was diagnosed to have sepsis post LCBDE which also required a prolonged stay of 7 days for antibiotics.

Conclusions: LCBDE offers good clinical outcomes in dealing with CBD stones. Surgeons experienced in laparoscopy can perform this procedure securely and efficiently.

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