Leveraging access to technology and enhanced surgical technique (LATEST) in laparoscopic bile duct exploration (LBDE).

ABSTRACT: Single-stage management of choledocholithiasis with concomitant gallstones consists of performing either laparoscopic bile duct exploration (LBDE) or intra-operative endoscopic retrograde cholangiopancreatography at the same time as laparoscopic cholecystectomy. Transductal LBDE is associated with significantly higher post-operative morbidity, longer operative times and longer hospital stay when compared to transcystic LBDE. The aim of this study was to report the transcystic exploration rate and post-operative outcomes from LBDE before and after implementation of the LATEST (Leveraging Access to Technology and Enhanced Surgical Technique) principles.

Methods

A retrospective review of 481 consecutive patients between February 1998 and July 2021 was performed. Patients were assigned

SUBMITTER: Navaratne L 

PROVIDER: S-EPMC10017620 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature