Topic
Choledochostomy
About: Choledochostomy is a research topic. Over the lifetime, 136 publications have been published within this topic receiving 1546 citations.
Papers published on a yearly basis
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Papers
TL;DR: The results indicate that in this selected group choledocho/hepaticoenterostomy should be the procedure of choice, however, the accumulated rate of biliary strictures increased with time, which requires a considerably longer follow-up to know the end results.
Abstract: Sixty-five cases of accidental lesion of the choledochus at cholecystectomy reported from 51 Swedish hospitals to the Patients' Insurance Syndicate in Stockholm 1975-1981 were studied. The results were evaluated as to the time of detection and the primary surgical repair done. Fifty-five of the 65 lesions were detected and repaired at the cholecystectomy and ten were detected and repaired the first 10 days after the primary operation. In 38 of 55 lesions detected before surgery, an end-to-end choledochostomy was performed. Good results without further surgical intervention were achieved in 22%. The 17 other preoperatively detected lesions were treated with choledocho/hepaticoenterostomy, and good results were achieved without further surgical intervention in 54%. Of the ten patients in whom the lesions were detected after surgery, three were reconstructed with an end-to-end choledochostomy; all of these developed obstruction that led into further reoperations. In the remaining seven patients the lesions were repaired within 10 days with a choledocho/hepaticoenterostomy; three of them did not require further surgical intervention and four had to be reoperated. There was no mortality at the first repair, but two cases of hospital mortality at reoperations. However, the morbidity have been substantial for patients with as well as without obvious further surgical complications. The results indicate that in this selected group choledocho/hepaticoenterostomy should be the procedure of choice. However, the accumulated rate of biliary strictures increased with time, which requires a considerably longer follow-up to know the end results of this of avoidable complication to "a straightforward cholecystectomy."
184 citations
TL;DR: Between January 1991 and July 1992, 350 laparoscopic cholecystectomies were performed, there were six biliary complication: common bile duct (CBD) injury, delayed CBD necrosis, immediate postoperative bile leakage, delayed biliary leakage, and delayed biles leakage (three).
Abstract: Between January 1991 and July 1992, 350 laparoscopic cholecystectomies were performed. There were six biliary complications (1.7 per cent): common bile duct (CBD) injury (one patient), delayed CBD necrosis (one), immediate postoperative bile leakage (one) and delayed bile leakage (three). All six patients required laparotomy. Primary repair with long-arm T tube splinting for 3 months was performed for the CBD injury. Religation of the cystic duct was carried out after immediate postoperative bile leakage. Laparotomy with T tube choledochostomy only was performed in the three patients with delayed bile leakage, and hepatojejunostomy Roux-en-Y was undertaken for CBD necrosis. The patient with primary repair of the CBD injury required choledochojejunostomy Roux-en-Y 18 months later for stenosis. Episodes of intermittent cholangitis occurred in the patient with CBD necrosis. The outcome for the four patients with bile leakage was good. There were no deaths.
169 citations
TL;DR: In this paper, the authors evaluated the experience with cholecystectomy and choledochostomy at the Massachusetts General Hospital for the eleven-year period 1943-1953, with particular reference to mortality and complications.
Abstract: SURGERY for chronic cholecystitis and cholelithiasis has become safer for the patient in recent years chiefly because of a better understanding of blood, fluid and electrolyte replacement, the use of antibiotics and improvements in anesthesia. In spite of these advances, definite risks remain, and continuing efforts must be made to reduce them to a minimum. The purpose of this study was to evaluate the experience with cholecystectomy and choledochostomy for chronic cholecystitis at the Massachusetts General Hospital for the eleven-year period 1943–1953, with particular reference to mortality and complications. It was hoped that a critical study of these factors would . . .
72 citations
TL;DR: Four patients with well-differentiated adenocarcinoma of the common hepatic duct were treated with cobalt teletherapy and the potential value of postoperative radiotherapy for patients who have had a successful palliative bile drainage procedure was illustrated by the autopsy finding of local tumor control.
Abstract: Four patients with well-differentiated adenocarcinoma of the common hepatic duct were treated with cobalt teletherapy. Two patients had 5-fluorouracil treatment and two underwent T-tube choledochostomy. Jaundice was alleviated in all patients. The duration of survival after surgery was 7 to 17 months. The two patients treated by radiotherapy alone had a survival time similar to that of the two treated by palliative surgery and radiotherapy. The potential value of postoperative radiotherapy for patients who have had a successful palliative bile drainage procedure was illustrated by the autopsy finding of local tumor control in one of the patients.
54 citations
TL;DR: The results of common-duct exploration in the presence of chronic cholecystitis at the Massachusetts General Hospital for the years 1943–1953 showed that choledochostomy, when added to choleCystectomy, tripled the mortality, whether or not stones were found in the duct.
Abstract: THE results of common-duct exploration in the presence of chronic cholecystitis at the Massachusetts General Hospital for the years 1943–1953 have been previously reported,1 and some dissatisfaction with these results has been expressed. In our experience choledochostomy, when added to cholecystectomy, tripled the mortality (Table 1), whether or not stones were found in the duct. More significantly, when a choledochostomy was done the mortality directly attributable to the operative procedure was increased by a factor of about 10. The total number of deaths involved was not large, 8 following cholecystectomy and 17 cholecystectomy and choledochostomy, but they represent a statistically . . .
54 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2020 | 2 |
| 2019 | 2 |
| 2018 | 1 |
| 2017 | 5 |
| 2016 | 7 |
| 2015 | 3 |