期刊
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
卷 26, 期 12, 页码 578-582出版社
WILEY
DOI: 10.1002/jhbp.675
关键词
Biliary calculi; Common bile duct; Endoscopes; Laparoscopic surgical procedure; Recurrence
资金
- Department of Biostatistics of the Catholic Research Coordinating Center
BackgroundRecurrence of common bile duct stone (CBDS) is not common after laparoscopic common bile duct exploration (LCBDE). This study aimed to investigate the risk factors of recurrence of CBDS after LCBDE. MethodsPatients who underwent LCBDE between January 2001 and December 2018 in four teaching hospitals of The Catholic University of Korea were included. The operation, fluoroscopy, and endoscopic retrograde cholangiopancreatography records were investigated retrospectively. The primary outcome of this study was the independent risk factors for recurrence of CBDS. ResultsA total of 230 patients were included in this study. Thirty-one patients had recurrence of CBDS. In univariate analysis, CBDS size (>9 mm) (P = 0.003), multiple stones (>= 2) (P = 0.031), stone size (>= 1.5 cm) (P = 0.041), CBD diameter (>= 12 mm) (P = 0.005), CBD dilatation (>= 10 mm) (P = 0.02), prior history of laparoscopic cholecystectomy (P = 0.002) were associated with recurrence. After multivariable logistic regression, CBDS size (>9 mm) (OR 4.67, 95% CI 1.35-16.18, P = 0.011), CBD dilatation (>= 10 mm) (OR 5.66, 95% CI 1.47-21.82, P = 0.012), and prior history of laparoscopic cholecystectomy (AOR 3. 90, 95% CI 1.34-11.37, P = 0.013) were associated with recurrence. ConclusionsStone size >9 mm, CBD diameter >= 10 mm, and prior history of laparoscopic cholecystectomy were risk factors for recurrence of CBDS after LCBDE.
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