Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Video-choledochoscopy in bile duct surgery.

G Csáky1, J Bezsilla, D Tóth

  • 1Department of Surgery, Borsod-Abaúj-Zemplém County Hospital, Miskolc, Hungary.

Acta Chirurgica Hungarica
|December 22, 1999
PubMed
Summary

This study evaluated common bile duct stone removal techniques, finding laparoscopic procedures more efficient and cost-effective than traditional open surgery or endoscopic retrograde cholangiopancreatography (ERCP). Surgeons should adopt minimally invasive laparoscopic methods for better patient outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tralokinumab plus topical corticosteroids for the treatment of moderate-to-severe atopic dermatitis: results from the double-blind, randomized, multicentre, placebo-controlled phase III ECZTRA 3 trial.

The British journal of dermatology·2020
Same author

Fecal expression of Escherichia coli lysine decarboxylase (LdcC) is downregulated in E-cadherin negative lobular breast carcinoma.

Physiology international·2020
Same author

Anxiety-associated and separation distress-associated behaviours in Angelman syndrome.

Journal of intellectual disability research : JIDR·2019
Same author

Secukinumab demonstrates high sustained efficacy and a favourable safety profile in patients with moderate-to-severe psoriasis through 5 years of treatment (SCULPTURE Extension Study).

Journal of the European Academy of Dermatology and Venereology : JEADV·2018
Same author

Secukinumab sustains good efficacy and favourable safety in moderate-to-severe psoriasis after up to 3 years of treatment: results from a double-blind extension study.

The British journal of dermatology·2017
Same author

Reduced immunogenic response to residual CHO cell protein in recombinant factor IX (IB1001) drug product in normal healthy rabbits.

Haemophilia : the official journal of the World Federation of Hemophilia·2016

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Biliary Tract Surgery

Background:

  • Common bile duct stones pose a significant clinical challenge.
  • Traditional management often involves open choledochotomy or endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST).
  • Laparoscopic techniques are emerging as a less invasive alternative.

Purpose of the Study:

  • To compare the efficacy and outcomes of different surgical approaches for common bile duct stone removal.
  • To evaluate the learning curve and challenges associated with intraoperative video-choledochoscopy.
  • To advocate for the adoption of laparoscopic common bile duct stone extraction.

Main Methods:

  • Retrospective analysis of 92 patients undergoing open common bile duct exploration.

Related Experiment Videos

  • One patient underwent laparoscopic common bile duct exploration.
  • Intraoperative video-choledochoscopy was utilized in 16 cases.
  • Postoperative investigations included cholangiography and ERCP.

    • Main Results:

    • Open choledochotomy was performed when endoscopic approaches failed or stones were found intraoperatively.
    • Intraoperative video-choledochoscopy increased operative time by 47 minutes and was associated with residual stones in 4 patients, likely due to surgeon inexperience.
    • Postoperative interventions were required in several cases, with varying success rates.

    Conclusions:

    • Laparoscopic common bile duct stone removal, utilizing instruments like guide-wires and Dormia baskets, offers a successful, comfortable, and cost-saving approach.
    • Mastery of laparoscopic techniques and associated instrumentation is recommended for surgeons.
    • Minimally invasive, one-stage laparoscopic procedures are associated with high success rates in the literature.