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BACKGROUND Failure of endoscopic sphincterotomy (ES) for retained bile duct stones occurs in 4% to 10% of cases and was traditionally managed with open bile duct reexploration. METHODS This study uses retrospective analysis of a consecutive series of cases of laparoscopic bile duct reexploration for retained bile duct stones after unsuccessful ES. RESULTS Thirty-one cases were operated over a 7-year period. Seventy percent had a previous open cholecystectomy. Ten cases were successfully treated with a transcystic approach and 19 with laparoscopic choledochotomy. Two patients were converted to open surgery. Morbidity was 3.22% with no mortality. CONCLUSIONS Laparoscopic bile duct reexploration can be safely performed and should be considered as an alternative to open surgery.
L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
January 1976,
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L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
August 1978,
The New Zealand medical journal,
L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
January 2002,
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L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
May 1992,
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L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
January 1985,
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L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
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A S Oría
January 1980,
The British journal of clinical practice,
L T Chiappetta Porras, and
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C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
November 1984,
South Dakota journal of medicine,
L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
January 2005,
Journal of postgraduate medicine,
L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
December 2010,
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L T Chiappetta Porras, and
E D Nápoli, and
C M Canullán, and
B M Quesada, and
J E Petracchi, and
A S Oría
October 1985,
Journal of the Royal College of Surgeons of Edinburgh,
