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KMID : 0870419980020020117
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1998 Volume.2 No. 2 p.117 ~ p.122
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Comparison of Common Bile Duct Exploration and Endoscopic Sphincterotomy for CBD Stones
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Ahn Seung-Ick
Heo Yoon-Seok
Lee Kun-Young
Seo Jeoun-Meen
Kim Sei-Joong
Hong Kee-Chun
Shin Suk-Hwan
Kim Kyung-Kook
Woo Ze-Hong
Lee Don-Haeng
Kim Young-Soo
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Abstract
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Background/Method: Ninety-four patients with common bile duct stones were entered into a retro-spective study of endoscopic sphincterotomy(EST) and stone clearance versus open common bile duct exploration(CBDE) to compare the clinical effect. The CBDE group(n=50) included 14 patients whose stones were not successfully removed after EST. The 257 group(n=44) included 4 patients whose stones were found after the laparoscopic cholecystectomy.
Results: The success rate of EST was 75.9%. Mean length of hospital stay was 12.8±11.1 days in CBDE group and 14.5±5.8days in EST group, but the difference between the two groups was not statistically significant(P>0.05). In EST group, EST was performed 2.14±0.88 times per patient and the average duration from the last EST to operation was 4.1±2.3 days. There was no mortality in both groups. Three cases of retained stones and 5 complications were found in CBDE group and 4 complications in EST group.
Conclusion: The difference of mean length of hospital stay between two groups was not statistically significant(P>0.05). CBDE was a reliable method and applicable to CBD stones failed with EST in EST group, the mean length of hospital stay could be shortened.
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KEYWORD
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Common bile duct stone, Common bile duct exploration, Endoscopic sphincterotomy
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