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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/23271

Title: A survey of European-African surgeons' management of common bile duct stones
Authors: Vannijvel, Marie
Lesurtel, Mickael
Bouckaert, Wim
Houben, Bert
Knol, Joep
Vangertruyden, Guido
Sergeant, Gregory
Issue Date: 2016
Citation: HPB, 18(12), p. 959-964
Abstract: Background: Common bile duct (CBD) stones can be managed by either endoscopic retrograde cholangiopancreatography (ERCP) or laparoscopic common bile duct exploration (LCBDE). The aim of this survey was to document the management of CBD stones by European-African HPB Association (E-AHPBA) members. Methods: All 331 members of the E-AHPBA were invited by personal email to participate to an online survey. Results: Ninety-three (28%) surgeons replied within 2 months. Responding surgeons were attending surgeons (84%), working as HPB surgeons (75%) in academic hospitals (73%). In patients with clinically suspected CBD stones, MRCP was the preferred diagnostic test for 61% of respondents. LCBDE was the preferred therapeutic strategy for 11 (12%) respondents only. Previous gastric surgery was an absolute contraindication to ERCP for 47% of respondents. Absence of CBD dilation was considered an absolute contraindication for LCBDE in 24% of respondents. Yearly caseload exceeded 10 patients for only 30% of 56 centers performing LCBDE. The transcystic approach was preferred by 39% of surgeons performing LCBDE. There was considerable variation amongst respondents with regard to type and duration of drainage, bile duct closure technique and follow-up after LCBDE. Conclusion: Indications for single-stage LCBDE are not standardized and do not appear well established across E-AHPBA members.
Notes: [Vannijvel, Marie; Bouckaert, Wim; Houben, Bert; Knol, Joep; Vangertruyden, Guido; Sergeant, Gregory] Jessa Ziekenhuis, Dept Abdominal Surg, Salvatorstr 20, B-3500 Hasselt, Belgium. [Sergeant, Gregory] Univ Hasselt, Fac Med & Life Sci, Hasselt, Belgium. [Lesurtel, Mickael] Univ Zurich Hosp, Dept Surg & Transplantat, Swiss HPB Ctr, Zurich, Switzerland. [Lesurtel, Mickael] Univ Lyon 1, Dept Gen Surg & Liver Transplantat, Croix Rousse Univ Hosp, Hosp Civils Lyon, Lyon, France.
URI: http://hdl.handle.net/1942/23271
DOI: 10.1016/j.hpb.2016.10.007
ISI #: 000390044100001
ISSN: 1365-182X
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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