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Index Admission Emergency Laparoscopic Cholecystectomy and Common Bile Duct Exploration

Results From a Specialist Center in the United Kingdom

Deytrikh, Andrew, MBChB, BMedSc, MRCS*; Stewart, Sabrina, BMBS; Malone, Nicholas, BMBS; McTaggart, Eleanor, BMBS; Leeder, Paul, MBChB, MD, FRCS; Bhatti, Imran, MBChB, MD, FRCS; Awan, Altaf, MBBS, MD, FRCS

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: April 2019 - Volume 29 - Issue 2 - p 113–116
doi: 10.1097/SLE.0000000000000602
Original Articles

Background: 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.

*Department of Surgery, Barnsley Hospital, Gawber Road, Barnsley

Department of Surgery, Royal Derby Hospital, Uttoxeter Road, Derby, UK

The authors declare no conflicts of interest.

Reprints: Andrew Deytrikh, MBChB, BMedSc, MRCS, Department of Surgery, Barnsley Hospital, Gawber Road, Barnsley, S75 2EP, UK (e-mail:

Received July 5, 2018

Accepted October 8, 2018

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