VARIABLES IN THE LAPAROSCOPIC MANAGEMENT OF CBD STONE

Dr. Rakesh Faujdar, Dr. Kamal Raikuni, Dr. Sridham Sutradhar

Abstract


Background and objectives: To evaluate operative feasibility of Laparoscopic choledocholithotomy Material and Methods: The present study was conducted on patients presenting with complaints suggestive of stone in common bile duct in the Emergency or Out-patient Department of M.L.B. Medical College, Jhansi in the Department of Surgery in duration between May 2013 to Oct. 2014 Result and Discussion: In our study all 31 patients underwent transductal. Rigid nephroscope was used in all patients except 01 patient in which ureteroscope was used. Stone clearance was 100% with mean operating time was 62.34 min. with conversion to open CBD explorationin 02 patients.  Primary closure was done, T-tube was inserted in 04 patients. Suture used was vicryl 3-0 continuous in all except one in which monocryl was used and average hospital stay was 5.8 days. No other complications were reported. Conclusion:  Laparoscopic CBD exploration is a safe, feasible and single stage option for the management of CBD stones and probably better option to ERCP.



Keywords


Common bile duct stones, Biliary drainage, Laparoscopy, Choledocholithiasis

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