Difficult common bile duct stones

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Carlos M. Canullán
Enrique J. Petracchi
Nicolás Baglietto
Hugo I. Zandalazini
Bernabé M. Quesada
Pablo Merchán del Hierro
Carlos G. Ocampo


Background: Single-stage procedure for the treatment of choledocholithiasis by laparoscopy is associated with high success rate in most cases. Difficult common bile duct stones are an exception to this rule.
Objective: The aim of this study is to describe the results obtained with the management of difficult common bile duct stones.
Material and methods: We conducted a retrospective review of a consecutive series of cases of difficult common bile duct stones treated between 2018-2020.
Results: Eight patients fulfilled the inclusion criteria. Of the 5 patients managed with single-stage approach through video-assisted laparoscopy, 60% required conversion to open surgery. The other 3 cases were initially managed with endoscopic cholangiography due to severe cholangitis and were solved with elective transcystic instrumentation.
Conclusion: This initial experience suggests that the two-stage approach could be better to treat difficult common bile duct stones with a minimally invasive approach.


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How to Cite
Canullán, C. M., Petracchi, E. J., Baglietto, N., Zandalazini, H. I., Quesada, B. M., Merchán del Hierro, P., & Ocampo, C. G. (2021). Difficult common bile duct stones. Revista Argentina De Cirugía, 113(3), 353–358. https://doi.org/10.25132/raac.v113.n3.1553.ei
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