dc.creator | López López, Víctor | es |
dc.creator | Gil Vázquez, Pedro José | es |
dc.creator | Ferreras, David | es |
dc.creator | Nassar, Ahmad H M | es |
dc.creator | Bansal, Virinder K | es |
dc.creator | Topal, Baki | es |
dc.creator | Parra Membrives, Pablo | es |
dc.creator | Martínez Isla, Alberto | es |
dc.date.accessioned | 2022-12-19T13:52:06Z | |
dc.date.available | 2022-12-19T13:52:06Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | López López, V., Gil Vázquez, P.J., Ferreras, D., Nassar, A.H.M., Bansal, V.K., Topal, B.,...,Martínez Isla, A. (2022). Multi-institutional expert update on the use of laparoscopic bile duct exploration (LBDE) in the management of choledocholithiasis: lesson learned from 3950 procedures. JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 1-9. https://doi.org/10.1002/jhbp.1123. | |
dc.identifier.issn | 1868-6974 | es |
dc.identifier.issn | 1868-6982 | es |
dc.identifier.uri | https://hdl.handle.net/11441/140627 | |
dc.description.abstract | Background: Recently there has been a growing interest in the laparoscopic
management of common bile duct stones with gallbladder in situ (LBDE),
which is favoring the expansion of this technique. Our study identified the standardization factors of LBDE and its implementation in the single-stage man agement of choledocholithiasis.
Methods: A retrospective multi-institutional study among 17 centers with
proven experience in LBDE was performed. A cross-sectional survey consisting
of a semi-structured pretested questionnaire was distributed covering the main
aspects on the use of LBDE in the management of choledocholithiasis.
Results: A total of 3950 LBDEs were analyzed. The most frequent indication was
jaundice (58.8%). LBDEs were performed after failed ERCP in 15.2%. The most
common approach used was the transcystic (63.11%). The overall series failure
rate of LBDE was 4% and the median rate for each center was 6% (IQR, 4.5-12.5).
Median operative time ranged between 60-120 min (70.6%). Overall morbidity
rate was 14.6%, with a postoperative bile leak and complications ≥3a rate of 4.5%
and 2.5%, respectively. The operative time decreased with experience (P = .03)
and length of hospital stay was longer in the presence of a biliary leak (P = .04).
Current training of LBDE was defined as poor or very poor by 82.4%.
Conclusion: Based on this multicenter survey, LBDE is a safe and effective ap proach when performed by experienced teams. The generalization of LBDE will
be based on developing training programs. | es |
dc.format | application/pdf | es |
dc.format.extent | 9 p. | es |
dc.language.iso | eng | es |
dc.publisher | WILEY | es |
dc.relation.ispartof | JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 1-9. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Bile duct exploration | es |
dc.subject | Biliary tract | es |
dc.subject | Cystic duct | es |
dc.subject | Laparoscopy | es |
dc.subject | Lithiasis | es |
dc.title | Multi-institutional expert update on the use of laparoscopic bile duct exploration (LBDE) in the management of choledocholithiasis: lesson learned from 3950 procedures | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://onlinelibrary.wiley.com/doi/10.1002/jhbp.1123 | es |
dc.identifier.doi | 10.1002/jhbp.1123 | es |
dc.contributor.group | Universidad de Sevilla. CTS459: Grupo de Investigación clínica en analgesia-anestesia. | es |
dc.journaltitle | JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | es |
dc.publication.initialPage | 1 | es |
dc.publication.endPage | 9 | es |