Reinterventions following laparoscopic cholecystectomy and bile duct exploration. A review of prospective data from 5740 patients
- Resource Type
- Authors
- Hwei J Ng; Ahmad H M Nassar
- Source
- Surgical Endoscopy. 36:2809-2817
- Subject
- Male
medicine.medical_specialty
Percutaneous
Gallstones
Quality of life
Internal medicine
medicine
Humans
Prospective Studies
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct
Bile duct
business.industry
Perioperative
Middle Aged
Hepatology
medicine.disease
Surgery
Choledocholithiasis
medicine.anatomical_structure
Cholecystectomy, Laparoscopic
Cohort
Quality of Life
Female
Bile Ducts
business
Abdominal surgery
- Language
- ISSN
- 1432-2218
0930-2794
BackgroundComplications following laparoscopic cholecystectomy (LC) and common bile duct exploration (CBDE) for the management of gallstones or choledocholithiasis impact negatively on patients’ quality of life and may lead to reinterventions. This study aims to evaluate the causes and types of reintervention following index admission LC with or without CBDE.MethodsA prospectively maintained database of LC and CBDE performed by a single surgeon was analysed. Preoperative factors, difficulty grading and perioperative complications requiring reintervention and readmissions were examined.ResultsReinterventions were required in 112 of 5740 patients (2.0%), 89 (1.6%) being subsequent to complications. The reintervention cohort had a median age of 64 years, were more likely to be females (p p p p ConclusionThis large series had a low incidence of reinterventions resulting from complications in spite of a high workload of index admission surgery for biliary emergencies and bile duct stones. Surgical or endoscopic reinterventions following LC alone occurred in only 0.8%. The most common form of reintervention was ERCP for retained CBD stones. This important outcome parameter of laparoscopic biliary surgery can be optimised through early diagnosis and timely reintervention for complications.