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Laparoscopic Treatment of Gallbladder and Common Bile Duct Stones: A Prospective Study
Authors:Emanuele Lezoche MD  Alessandro M Paganini MD  PhD  Francesco Carlei MD  Francesco Feliciotti MD  Davide Lomanto MD  PhD  Mario Guerrieri MD
Institution:(1) Department of General Surgery I, Division of Surgical Pathology, Institute of Surgical Science, University of Ancona, Umberto I Hospital, Piazza Cappelli 1, 60121 Ancona, Italy, IT;(2) Department of Endocrinologic Surgery, University of L’Aquila, Viale della Croce Rosa, 67100 L’Aquila, Italy, IT;(3) Institute of Second Surgical Clinic, University of Rome, “La Sapienza,” Viale del Policlinico, 00161 Rome, Italy, IT
Abstract:n = 2), port site infection ( n = 2), and subumbilical hematoma ( n = 1). Major morbidity was bile leakage from the cystic duct stump in two cases due to clips or transcystic duct drainage displacement, respectively. One elderly, high risk patient died after being referred for several failed attempts of endoscopic clearance; she died from cardiogenic shock 3 days after successful laparoscopic treatment. Laparoscopic CBD exploration is feasible and safe in most patients, with short-term results that compare favorably with the results of sequential ES/LC reported in the literature.
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