Mini-Invasive management of concomitant gallstones and common bile duct stones : where is the evidence ( Review article).
Identifieur interne : 000660 ( Main/Exploration ); précédent : 000659; suivant : 000661Mini-Invasive management of concomitant gallstones and common bile duct stones : where is the evidence ( Review article).
Auteurs : Mohamed Ali Chaouch ; Mohamed Wejih Dougaz ; Hichem Jerraya ; Mehdi Khalfallah ; Wafa Ghariani ; Ramzi Nouira ; Ibtissem Bouasker ; Chadli DziriSource :
- La Tunisie medicale [ 0041-4131 ]
Descripteurs français
- KwdFr :
- Calculs biliaires (chirurgie), Calculs biliaires (complications), Cholécystectomie laparoscopique (effets indésirables), Cholécystectomie laparoscopique (méthodes), Cholécystectomie laparoscopique (statistiques et données numériques), Conduit cholédoque (anatomopathologie), Conduit cholédoque (chirurgie), Durée du séjour (statistiques et données numériques), Durée opératoire (MeSH), Histoire du 21ème siècle (MeSH), Humains (MeSH), Interventions chirurgicales mini-invasives (méthodes), Laparoscopie (effets indésirables), Laparoscopie (méthodes), Laparoscopie (statistiques et données numériques), Lithiase cholédocienne (chirurgie), Lithiase cholédocienne (complications), Pratique factuelle (MeSH), Résultat thérapeutique (MeSH), Sphinctérotomie endoscopique (effets indésirables), Sphinctérotomie endoscopique (méthodes), Sphinctérotomie endoscopique (statistiques et données numériques).
- MESH :
- anatomopathologie : Conduit cholédoque.
- chirurgie : Calculs biliaires, Conduit cholédoque, Lithiase cholédocienne.
- effets indésirables : Calculs biliaires, Cholécystectomie laparoscopique, Laparoscopie, Lithiase cholédocienne, Sphinctérotomie endoscopique.
- méthodes : Cholécystectomie laparoscopique, Interventions chirurgicales mini-invasives, Laparoscopie, Sphinctérotomie endoscopique.
- statistiques et données numériques : Cholécystectomie laparoscopique, Durée du séjour, Laparoscopie, Sphinctérotomie endoscopique.
- Durée opératoire, Histoire du 21ème siècle, Humains, Pratique factuelle, Résultat thérapeutique.
English descriptors
- KwdEn :
- Cholecystectomy, Laparoscopic (adverse effects), Cholecystectomy, Laparoscopic (methods), Cholecystectomy, Laparoscopic (statistics & numerical data), Choledocholithiasis (complications), Choledocholithiasis (surgery), Common Bile Duct (pathology), Common Bile Duct (surgery), Evidence-Based Practice (MeSH), Gallstones (complications), Gallstones (surgery), History, 21st Century (MeSH), Humans (MeSH), Laparoscopy (adverse effects), Laparoscopy (methods), Laparoscopy (statistics & numerical data), Length of Stay (statistics & numerical data), Minimally Invasive Surgical Procedures (methods), Operative Time (MeSH), Sphincterotomy, Endoscopic (adverse effects), Sphincterotomy, Endoscopic (methods), Sphincterotomy, Endoscopic (statistics & numerical data), Treatment Outcome (MeSH).
- MESH :
- adverse effects : Cholecystectomy, Laparoscopic, Laparoscopy, Sphincterotomy, Endoscopic.
- complications : Choledocholithiasis, Gallstones.
- methods : Cholecystectomy, Laparoscopic, Laparoscopy, Minimally Invasive Surgical Procedures, Sphincterotomy, Endoscopic.
- pathology : Common Bile Duct.
- statistics & numerical data : Cholecystectomy, Laparoscopic, Laparoscopy, Length of Stay, Sphincterotomy, Endoscopic.
- surgery : Choledocholithiasis, Common Bile Duct, Gallstones.
- Evidence-Based Practice, History, 21st Century, Humans, Operative Time, Treatment Outcome.
Abstract
BACKGROUND
The ideal mini-invasive management of common bile duct stones (CBDS) with concomitant gallbladder stones is debatable. This article aims to review the management of this condition during the last decade using the mini-invasive approach.
METHODS
A database research in Medline, Embase, Cochrane and Google Scholar during the period between January 2009 to December 2018 was performed. The keywords used were «ERCP», «common bile duct exploration», «endoscopic sphincterotomy», «laparoscopic surgery», «laparoscopic cholecystectomy», «choledocholithiasis», «common bile duct stones» «meta-analysis» and «randomized clinical trials».
RESULTS
There were 14 studies comparing mini-invasive procedures. There were nine meta-analysis, three reviews articles and two randomized clinical trials. We concluded to the absence of difference between the group laparoscopic cholecystectomy (LC) with a laparoscopic exploration of CBD (LECBD) and LC with endoscopic retrograde cholangiopancreatography (ERCP) in terms of mortality, morbidity, stones extraction success rate and duration of hospital stay. LC + ERCP is superior in terms of conversion and treatment cost. Concerning LC with a preoperative ERCP versus LC with postoperative ERCP, based on the literature data, no conclusions could be drawn. Concerning LC with LECBD versus LC with preoperative ERCP, we conclude to the absence of difference in terms of mortality, morbidity and conversion rate. Given the discordance of the results, in terms of successful extraction rate of stones, operating time and duration of hospital stay we cannot conclude to the superiority of one technique. Concerning LC with LECBD versus LC with postoperative ERCP, we conclude the absence of difference in terms of mortality, morbidity, the success rate of stones extraction, duration of hospital stays and conversion rate. Concerning LC with intraoperative ERCP versus LC with preoperative ERCP, we concluded to the absence of difference in terms of mortality, morbidity and rate of success stones extraction. The LC + intraoperative ERCP was superior in terms of hospital stay duration and conversion rate. Concerning one-stage versus two-stage treatment, we concluded to the absence of difference in terms of mortality, morbidity, the success rate of stone extraction, the conversion rate and the duration of hospital stay.
CONCLUSIONS
One-stage or two-stages procedures are feasible and safe with equivalent efficacy. Surgeons must be aware of the different difficulties of these procedures and should be judicious in their use of different techniques.
PubMed: 32173848
Affiliations:
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Le document en format XML
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<author><name sortKey="Chaouch, Mohamed Ali" sort="Chaouch, Mohamed Ali" uniqKey="Chaouch M" first="Mohamed Ali" last="Chaouch">Mohamed Ali Chaouch</name>
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<author><name sortKey="Dougaz, Mohamed Wejih" sort="Dougaz, Mohamed Wejih" uniqKey="Dougaz M" first="Mohamed Wejih" last="Dougaz">Mohamed Wejih Dougaz</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cholecystectomy, Laparoscopic (adverse effects)</term>
<term>Cholecystectomy, Laparoscopic (methods)</term>
<term>Cholecystectomy, Laparoscopic (statistics & numerical data)</term>
<term>Choledocholithiasis (complications)</term>
<term>Choledocholithiasis (surgery)</term>
<term>Common Bile Duct (pathology)</term>
<term>Common Bile Duct (surgery)</term>
<term>Evidence-Based Practice (MeSH)</term>
<term>Gallstones (complications)</term>
<term>Gallstones (surgery)</term>
<term>History, 21st Century (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Laparoscopy (adverse effects)</term>
<term>Laparoscopy (methods)</term>
<term>Laparoscopy (statistics & numerical data)</term>
<term>Length of Stay (statistics & numerical data)</term>
<term>Minimally Invasive Surgical Procedures (methods)</term>
<term>Operative Time (MeSH)</term>
<term>Sphincterotomy, Endoscopic (adverse effects)</term>
<term>Sphincterotomy, Endoscopic (methods)</term>
<term>Sphincterotomy, Endoscopic (statistics & numerical data)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Calculs biliaires (chirurgie)</term>
<term>Calculs biliaires (complications)</term>
<term>Cholécystectomie laparoscopique (effets indésirables)</term>
<term>Cholécystectomie laparoscopique (méthodes)</term>
<term>Cholécystectomie laparoscopique (statistiques et données numériques)</term>
<term>Conduit cholédoque (anatomopathologie)</term>
<term>Conduit cholédoque (chirurgie)</term>
<term>Durée du séjour (statistiques et données numériques)</term>
<term>Durée opératoire (MeSH)</term>
<term>Histoire du 21ème siècle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Interventions chirurgicales mini-invasives (méthodes)</term>
<term>Laparoscopie (effets indésirables)</term>
<term>Laparoscopie (méthodes)</term>
<term>Laparoscopie (statistiques et données numériques)</term>
<term>Lithiase cholédocienne (chirurgie)</term>
<term>Lithiase cholédocienne (complications)</term>
<term>Pratique factuelle (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sphinctérotomie endoscopique (effets indésirables)</term>
<term>Sphinctérotomie endoscopique (méthodes)</term>
<term>Sphinctérotomie endoscopique (statistiques et données numériques)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cholecystectomy, Laparoscopic</term>
<term>Laparoscopy</term>
<term>Sphincterotomy, Endoscopic</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Conduit cholédoque</term>
</keywords>
<keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Calculs biliaires</term>
<term>Conduit cholédoque</term>
<term>Lithiase cholédocienne</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Choledocholithiasis</term>
<term>Gallstones</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Calculs biliaires</term>
<term>Cholécystectomie laparoscopique</term>
<term>Laparoscopie</term>
<term>Lithiase cholédocienne</term>
<term>Sphinctérotomie endoscopique</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cholecystectomy, Laparoscopic</term>
<term>Laparoscopy</term>
<term>Minimally Invasive Surgical Procedures</term>
<term>Sphincterotomy, Endoscopic</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Cholécystectomie laparoscopique</term>
<term>Interventions chirurgicales mini-invasives</term>
<term>Laparoscopie</term>
<term>Sphinctérotomie endoscopique</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Common Bile Duct</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Cholecystectomy, Laparoscopic</term>
<term>Laparoscopy</term>
<term>Length of Stay</term>
<term>Sphincterotomy, Endoscopic</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Cholécystectomie laparoscopique</term>
<term>Durée du séjour</term>
<term>Laparoscopie</term>
<term>Sphinctérotomie endoscopique</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Choledocholithiasis</term>
<term>Common Bile Duct</term>
<term>Gallstones</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Evidence-Based Practice</term>
<term>History, 21st Century</term>
<term>Humans</term>
<term>Operative Time</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Durée opératoire</term>
<term>Histoire du 21ème siècle</term>
<term>Humains</term>
<term>Pratique factuelle</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>The ideal mini-invasive management of common bile duct stones (CBDS) with concomitant gallbladder stones is debatable. This article aims to review the management of this condition during the last decade using the mini-invasive approach.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A database research in Medline, Embase, Cochrane and Google Scholar during the period between January 2009 to December 2018 was performed. The keywords used were «ERCP», «common bile duct exploration», «endoscopic sphincterotomy», «laparoscopic surgery», «laparoscopic cholecystectomy», «choledocholithiasis», «common bile duct stones» «meta-analysis» and «randomized clinical trials».</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>There were 14 studies comparing mini-invasive procedures. There were nine meta-analysis, three reviews articles and two randomized clinical trials. We concluded to the absence of difference between the group laparoscopic cholecystectomy (LC) with a laparoscopic exploration of CBD (LECBD) and LC with endoscopic retrograde cholangiopancreatography (ERCP) in terms of mortality, morbidity, stones extraction success rate and duration of hospital stay. LC + ERCP is superior in terms of conversion and treatment cost. Concerning LC with a preoperative ERCP versus LC with postoperative ERCP, based on the literature data, no conclusions could be drawn. Concerning LC with LECBD versus LC with preoperative ERCP, we conclude to the absence of difference in terms of mortality, morbidity and conversion rate. Given the discordance of the results, in terms of successful extraction rate of stones, operating time and duration of hospital stay we cannot conclude to the superiority of one technique. Concerning LC with LECBD versus LC with postoperative ERCP, we conclude the absence of difference in terms of mortality, morbidity, the success rate of stones extraction, duration of hospital stays and conversion rate. Concerning LC with intraoperative ERCP versus LC with preoperative ERCP, we concluded to the absence of difference in terms of mortality, morbidity and rate of success stones extraction. The LC + intraoperative ERCP was superior in terms of hospital stay duration and conversion rate. Concerning one-stage versus two-stage treatment, we concluded to the absence of difference in terms of mortality, morbidity, the success rate of stone extraction, the conversion rate and the duration of hospital stay.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>One-stage or two-stages procedures are feasible and safe with equivalent efficacy. Surgeons must be aware of the different difficulties of these procedures and should be judicious in their use of different techniques.</p>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Bouasker, Ibtissem" sort="Bouasker, Ibtissem" uniqKey="Bouasker I" first="Ibtissem" last="Bouasker">Ibtissem Bouasker</name>
<name sortKey="Chaouch, Mohamed Ali" sort="Chaouch, Mohamed Ali" uniqKey="Chaouch M" first="Mohamed Ali" last="Chaouch">Mohamed Ali Chaouch</name>
<name sortKey="Dougaz, Mohamed Wejih" sort="Dougaz, Mohamed Wejih" uniqKey="Dougaz M" first="Mohamed Wejih" last="Dougaz">Mohamed Wejih Dougaz</name>
<name sortKey="Dziri, Chadli" sort="Dziri, Chadli" uniqKey="Dziri C" first="Chadli" last="Dziri">Chadli Dziri</name>
<name sortKey="Ghariani, Wafa" sort="Ghariani, Wafa" uniqKey="Ghariani W" first="Wafa" last="Ghariani">Wafa Ghariani</name>
<name sortKey="Jerraya, Hichem" sort="Jerraya, Hichem" uniqKey="Jerraya H" first="Hichem" last="Jerraya">Hichem Jerraya</name>
<name sortKey="Khalfallah, Mehdi" sort="Khalfallah, Mehdi" uniqKey="Khalfallah M" first="Mehdi" last="Khalfallah">Mehdi Khalfallah</name>
<name sortKey="Nouira, Ramzi" sort="Nouira, Ramzi" uniqKey="Nouira R" first="Ramzi" last="Nouira">Ramzi Nouira</name>
</noCountry>
</tree>
</affiliations>
</record>
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