Assessment of postoperative common bile duct stones after endoscopic extraction and subsequent cholecystectomy

Sugiura, Ryo; Nakamura, Hideaki; Horita, Shoichi; Meguro, Takashi; Sasaki, Kiyotaka; Kagaya, Hidetoshi; Yoshida, Tatsuya; Aoki, Hironori; Morita, Takayuki; Fujita, Miyoshi; Tamoto, Eiji; Fukushima, Masayuki; Ashitate, Yoshitomo; Ueno, Takashi; Tsutaho, Akio; Kuwatani, Masaki; Sakamoto, Naoya

Assessment of postoperative common bile duct stones after endoscopic extraction and subsequent cholecystectomy

Sugiura, Ryo; Nakamura, Hideaki; Horita, Shoichi et al.

Surgical endoscopy and other interventional techniques, 2022, 36(9), 6535-6542

Permalink : https://hdl.handle.net/2115/90370

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アクセス権	open access
URI	https://hdl.handle.net/2115/90370
タイトル	Assessment of postoperative common bile duct stones after endoscopic extraction and subsequent cholecystectomy
著者	Sugiura, Ryo ; Nakamura, Hideaki ; Horita, Shoichi ; Meguro, Takashi ; Sasaki, Kiyotaka ; Kagaya, Hidetoshi ; Yoshida, Tatsuya ; Aoki, Hironori ; Morita, Takayuki ; Fujita, Miyoshi ; Tamoto, Eiji ; Fukushima, Masayuki ; Ashitate, Yoshitomo ; Ueno, Takashi ; Tsutaho, Akio ; Kuwatani, Masaki ; Sakamoto, Naoya
著者名 Sugiura, Ryo
著者名 Nakamura, Hideaki
著者名 Horita, Shoichi
著者名 Meguro, Takashi
著者名 Sasaki, Kiyotaka
著者名 Kagaya, Hidetoshi
著者名 Yoshida, Tatsuya
著者名 Aoki, Hironori
著者名 Morita, Takayuki
著者名 Fujita, Miyoshi
著者名 Tamoto, Eiji
著者名 Fukushima, Masayuki
著者名 Ashitate, Yoshitomo
著者名 Ueno, Takashi
著者名 Tsutaho, Akio
e-Rad_Researcher 50431375 著者名 Kuwatani, Masaki
e-Rad_Researcher 10334418 著者名 Sakamoto, Naoya
言語	英語
キーワード	Cholecystectomy
	Common bile duct stone
	Cystic duct stone
	Endoscopic stone extraction
	Gallbladder stone
	Postoperative common bile duct stone
発行日	2022-09-01
出版者	Springer
収録物名	Surgical endoscopy and other interventional techniques
巻(号)	36(9)
ページ	6535-6542
抄録	Background Common bile duct stones (CBDSs) occasionally cause serious diseases, and endoscopic extraction is the standard procedure for CBDS. To prevent biliary complications, cholecystectomy is recommended for patients who present with gallbladder (GB) stones after endoscopic CBDS extraction. However, CBDS can occasionally recur. To date, the occurrence of CBDS after endoscopic CBDS extraction and subsequent cholecystectomy is not fully understood. Hence, the current study aimed to evaluate the incidence of postoperative CBDSs. Methods This retrospective observational study included consecutive patients who underwent postoperative endoscopic retrograde cholangiography after endoscopic CBDS extraction and subsequent cholecystectomy between April 2012 and June 2021 at our institution. After endoscopic CBDS extraction, a biliary plastic stent was inserted to prevent obstructive cholangitis. Endoscopic retrograde cholangiography was performed to evaluate postoperative CBDSs after cholecystectomy until hospital discharge. The outcomes were the incidence of postoperative CBDSs and CBDSs/sludge. Moreover, the predictive factors for postoperative CBDSs were evaluated via univariate and multivariate analyses. Results Of eligible 204 patients, 52 patients (25.5%) presented with postoperative CBDSs. The incidence rate of CBDS/sludge was 36.8% (n = 75). Based on the univariate analysis, the significant predictive factors for postoperative CBDSs were >= 6 CBDSs, presence of cystic duct stones, and >= 10 GB stones (P < 0.05). Moreover, male sex and < 60-mm minor axis in GB might be predictive factors (P < 0.10). Based on the multivariate analysis, >= 6 CBDSs (odds ratio = 6.65, P < 0.01), presence of cystic duct stones (odds ratio = 4.39, P < 0.01), and >= 10 GB stones (odds ratio = 2.55, P = 0.01) were independent predictive factors for postoperative CBDSs. Conclusions The incidence of postoperative CBDS was relatively high. Hence, patients with predictive factors for postoperative CBDS must undergo imaging tests or additional endoscopic procedure after cholecystectomy.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s00464-022-09017-z
PISSN	0930-2794
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s00464-022-09017-z