Abstract

CUADRADO, Daniela María; SALAZAR, Andrés Felipe; OROZCO, Javier Francisco  and  BUITRAGO, Diego Andrés. Laparoscopic common bile duct exploration and primary closure in cholecysto-choledocolithiasis at Hospital San Ignacio, Bogotá, Colombia. rev. colomb. cir. [online]. 2017, vol.32, n.3, pp.182-185. ISSN 2011-7582.  https://doi.org/10.30944/20117582.23.

Choledocolithiasis is a frequent pathology, it is present in about 10-18% of the patients with cholelithiasis. Endoscopic retrograde cholangiopancreatography (ERCP) with subsequent cholecystectomy is the routine established procedure for this pathology. If it fails, the routine is to proceed with a common bile duct exploration with the insertion of a T tube or primary closure. Laparoscopic surgery is the worldwide standardized procedure; however, it is not a common practice in our environment. In this report, we evaluated 12 patients with cholecysto-choledocholithiasis with previously failed ERCP that underwent laparoscopic cholecystectomy and common bile duct exploration with primary closure in the period May 2015 - May 2016. Our patients had good postoperatory course with appropriate outcomes; 83% had less than 5 days of hospital stay following surgery. It was concluded that performing laparoscopic cholecystectomy and common bile duct exploration with primary closure is a safe technique with low hospital stay after surgery.

Keywords : Common bile duct; choledocholithiasis; cholecystectomy; laparoscopic; suture techniques; learning curve.

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