Laparoscopic common bile duct exploration / Alberto Martinez-Isla, Lalin Navaratne, editors ; foreword by Lord Darzi of Denham, Peter B. Cotton.
Martinez-Isla, Alberto, editor.; Navaratne, Lalin, editor.
2022
RD547 .L36 2022
Available Online

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Title Laparoscopic common bile duct exploration / Alberto Martinez-Isla, Lalin Navaratne, editors ; foreword by Lord Darzi of Denham, Peter B. Cotton.
ISBN 9783030932039 (electronic bk.)
3030932036 (electronic bk.)
9783030932022
3030932028
DOI https://doi.org/10.1007/978-3-030-93203-9
Published Cham : Springer, [2022]
Copyright ©2022
Language English
Description 1 online resource : illustrations (some color).
Other Standard Identifiers 10.1007/978-3-030-93203-9 doi
Call Number RD547 .L36 2022
Dewey Decimal Classification 617.5/56
Summary This book provides a concise overview of several critically important techniques and their applications within Laparoscopic Common Bile Duct Exploration (LCBDE). LCBDE is rapidly emerging as the preferential management option for treating patients with common bile duct (CBD) stones. Chapters within this book describe how this technique can be applied to manage patients with concomitant gallstones, which aims to increase the exploration of the CBD via the transcystic route. Particular mention is made for the use of energy devices to enable stone fragmentation within the bile duct also known as Lithotripsy-Assisted Bile duct Exploration by Laparoendoscopy (LABEL). Guidance is also provided on how to set-up an acute biliary service which can offer the single-stage management of concomitant gallstones and choledocholithiasis. The concepts of Leveraging Access to Technology and Enhanced Surgical Techniques (LATEST)--in LCBDE and Biliary Surgery 2.0--as the framework through which these techniques can be further enhanced are analysed. Laparoscopic Common Bile Duct Exploration features insight into how to perform these increasingly important procedures successfully and set-up a service within institutions that are yet to provide it. Therefore, it is a valuable resource for all medical professionals involved in the care of these patients.
Bibliography, etc. Note Includes bibliographical references.
Access Note Access limited to authorized users.
Source of Description Online resource; title from PDF title page (SpringerLink, viewed April 18, 2022).
Added Author Martinez-Isla, Alberto, editor.
Navaratne, Lalin, editor.
Series In clinical practice (Springer (Firm)) 2199-6660
Available in Other Form Print version: 9783030932022
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History of biliary surgery.-The first cholecystectomy
The first choledochotomy
History of common bile duct imaging
Technique of CBD exploration in the 60s-70s
The arrival of ERCP
Approach to the cbd stones in the 80s
The revolution in the nineties: The laparoscopic cholecystectomy and bile duct exploration
Review of the evidence against and in favour of LC-IOC±LCBDE
Our technique & equipment needed
Equipment and kit needed for LCBDE
Surgical technique for LCBDE
Laparoscopic ultrasound
Different surgical scenarios and its specific management
Different surgical scenarios
CBD and CD both non-dilated
CD Dilated & CBD non-dilated
CD non-dilated & CBD Dilated
CD & CBD both dilated
The impossible hilum: The transinfundibular approach
The closure after the access to the CBD
Closure over T -tube
Closure over antegrade stent
Primary closure
Closure with transcystic drain
Bilioenteric anastomoses
The LABEL technique
Our experience with LCBDE in more than 450 cases
The evolution to Biliary Surgery 2.0
Our cases.-Failure to clear the duct
Morbidity
Closure after exploring CBD
T tube vs antegrade stent.-Primary closure
Increase in the use of transcystic approach
The transcystic vs the TD access.-management of Type II Mirizzi syndrome
The impact pf LCBDE in a general surgical department.-Bile duct exploration 2.0 .-Training in LCBDE.

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