Laparoscopic common bile duct exploration with primary closure over an ante-grade biliary stent-our experience

Aarif Bashir; Shaukat Jeelani; Saniya Zaffar

doi:10.18203/2349-2902.isj20212713

Authors

Aarif Bashir Department of Surgery, SMHS Hospital, Srinagar, Jammu and Kashmir, India
Shaukat Jeelani Department of Surgery, SMHS Hospital, Srinagar, Jammu and Kashmir, India
Saniya Zaffar Department of Surgery, SMHS Hospital, Srinagar, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-2902.isj20212713

Keywords:

Laparoscopic, Antegrade, Stent, CBD, Primary, Closure, Biliary

Abstract

Background: Aim of study was the assessment of laparoscopic common bile duct (CBD) exploration with primary closure over an ante-gradely placed endo-biliary stent for CBD stones in terms of operating time, rate of conversion to open procedure, hospital stay, postoperative complications and residual disease.

Methods: Our data was analysed retrospectively over a period of 5 years (2015-2020) on all the patients who underwent laparoscopic CBD exploration with primary closure over an ante-gradely placed endo-biliary stent followed by cholecystectomy at SMHS hospital, Srinagar, J and K, India. Total of 30 such patients were identified.

Results: The mean procedure time was 93.5±23.16 minutes. There were no intra operative complications encountered in the study. Four patients were converted to open (13.33%). The mean duration of hospital stay was 4.56±1.99 Days. The total number of patients that developed post-operative complications was 7 (23.33%). The most frequently encountered post-operative complication was stent migration (13.33%). The next most common post-operative complication was minor biliary leak (10%) which resolved spontaneously. There was no mortality experienced during the study. Two patients (6.66%) had residual stones and 28 (93.33%) patients had complete clearance of the CBD.

Conclusions: Laparoscopic CBD exploration with primary closure over an ante-gradely placed endo-biliary stent is a feasible option and is a safe procedure. Endoscopic removal of the stent can safely be done after an interval of 6-8 weeks.

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