1. Safety and efficacy of a novel continuous incision technique for laparoscopic transcystic choledocholithotomy
- Author
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Tetsuya Otani, Natsumi Matsuzawa, Akira Iwaya, Shirou Kuwabara, Toshiyuki Yamazaki, Naoyuki Yokoyama, Kazuaki Kobayashi, Hideki Saito, Daisuke Sato, and Norio Katayanagi
- Subjects
medicine.medical_specialty ,Small diameter ,business.industry ,Bile duct ,Significant difference ,General Medicine ,030230 surgery ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Medicine ,Cystic duct ,030211 gastroenterology & hepatology ,business - Abstract
Introduction The purpose of this study was to evaluate the safety and efficacy of a novel continuous incision technique for the cystic duct and the bile duct over the orifice for laparoscopic transcystic choledocholithotomy (LTCL). Methods LTCL was attempted in 103 consecutive patients from January 1998 to March 2015 and was successful in 96 patients. The cystic duct confluence was made by cutting upward from the orifice in 19 patients. The cystic duct was incised downward beyond the orifice to the bile duct in the other 77 patients. Both of these procedures involved LTCL. Results LTCL was successful in 96 patients. It failed in seven patients because of large bile duct stones (BDS), left lateral entry of the cystic duct, or the cystic duct's small diameter. The success rates of LTCL were 98% (47/48), 96% (42/44), and 64% (7/11) for patients with BDS
- Published
- 2017
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