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dc.contributor.authorStewart, Sabrina
dc.contributor.authorMalone, Nicholas
dc.contributor.authorMcTaggart, Eleanor
dc.contributor.authorLeeder, Paul
dc.contributor.authorBhatti, Imran
dc.contributor.authorAwan, Altaf
dc.identifier.citationSurg Laparosc Endosc Percutan Tech. 2018 Dec 4. doi: 10.1097/SLE.0000000000000602. [Epub ahead of print]en
dc.descriptionAuthor(s) Pre Print Version. 12 month Embargo on Post Print. No PDFen
dc.description.abstractBACKGROUND: The incidence of common bile duct (CBD) stones is between 10% to 18% in people undergoing cholecystectomy for gallstones. Laparoscopic exploration of the CBD is now becoming routine practice in the elective setting, however its safety and efficacy in emergencies is poorly understood. METHODS: We analyzed our results for index emergency admission laparoscopic cholecystectomy within a specialist center in the United Kingdom. Data from all emergency cholecystectomies in our unit, between 2011 to 2016 were collected and analyzed retrospectively. RESULTS: In total, 494 patients underwent emergency laparoscopic cholecystectomy; 53 (10.7%) patients underwent common bile duct exploration (CBDE), with 1 conversion and 1 bile leak. Indications for CBDE were based on preoperative imaging (41 cases, 81%) or intra-operative cholangiogram (44 cases, 83%) findings. CONCLUSIONS: Index admission laparoscopic cholecystectomy and concomitant CBDE is safe and should be the gold standard treatment for patients presenting with acute biliary complications, reducing readmissions and the need for a 2-stage procedure.en
dc.subjectLaparoscopic Cholecystectomyen
dc.titleIndex Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration: Results From a Specialist Center in the United Kingdom.en

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