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Risk factors affecting the success of single-stage laparoscopic choledocholithiasis treatment: a retrospective analysis

  • 0BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE; CNE ≪KYIV CITY CLINICAL HOSPITAL OF EMERGENCY CARE≫, KYIV, UKRAINE.
Wiadomosci Lekarskie (warsaw, Poland : 1948) +

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December 23, 2024

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December 23, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Advanced age, multiple stones, and preoperative cholangitis are key risk factors for unsuccessful single-stage laparoscopic treatment of choledocholithiasis. Identifying these predictors can improve patient outcomes and procedural success rates.

Area Of Science

  • Gastroenterology
  • Surgical Innovation
  • Medical Risk Assessment

Background

  • Choledocholithiasis, the presence of gallstones in the common bile duct, poses significant clinical challenges.
  • Single-stage laparoscopic common bile duct (CBD) exploration and cholecystectomy offer a minimally invasive approach.
  • Predicting procedural success is crucial for optimizing patient management.

Purpose Of The Study

  • To identify and evaluate risk factors influencing the success of single-stage laparoscopic treatment for choledocholithiasis.
  • To determine predictors of negative outcomes in this patient cohort.

Main Methods

  • Retrospective analysis of 139 patients undergoing single-stage laparoscopic CBD exploration and cholecystectomy (2018-2024).
  • Multivariate logistic regression analysis to identify significant predictors of procedural success.

Main Results

  • Advanced age, presence of multiple stones, and preoperative cholangitis were identified as significant negative predictors.
  • Each year of advanced age increased negative outcome odds by 20.8% (OR 1.208).
  • Each additional stone increased negative outcome odds by 21.5% (OR 1.215); preoperative cholangitis yielded a 5-fold increase (OR 5.485).

Conclusions

  • Advanced age, multiple stones, and preoperative cholangitis significantly impact the success of single-stage laparoscopic choledocholithiasis treatment.
  • Incorporating these predictors into clinical practice can enhance patient care and procedural success.
  • Optimizing outcomes necessitates careful preoperative imaging and intraoperative techniques.

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