Transient increase in the common bile duct diameter after laparoscopic and open cholecystectomy

AUTHORS

Ahmadreza Rasekhi 1 , * , Mehrdad Sayyadinia 2 , Alireza Rasekhi 3 , Shahram Zare 4

1 General Surgen, Hormozgan University of Medical Sciences, Banmdar Abbas, Iran.

2 Assisstant Professor Department of Surgery, Hormozgan University of Medical Sciences, Banmdar Abbas, Iran.

3 Associate Professor Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.

4 Associate Profesor Department of Community Medicine, Hormozgan University of Medical Sciences, Banmdar Abbas, Iran.

How to Cite: Rasekhi A, Sayyadinia M, Rasekhi A, Zare S . Transient increase in the common bile duct diameter after laparoscopic and open cholecystectomy, Hormozgan Med J. 2014 ; 17(6):e88252.

ARTICLE INFORMATION

Hormozgan Medical Journal: 17 (6); e88252
Published Online: September 24, 2013
Article Type: Research Article
Received: January 08, 2013
Accepted: September 24, 2013

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Abstract

Introduction: Increase in the common bile duct diameter after cholecystectomy has been
reported in animal model. However, similar studies in the human resulted in controversy.
Methods: Between 2008 and 2012, fifty two patients with clinical as well as radiological
signs and symptoms of gallbladder disease were enrolled in this study. The patients
underwent laparoscopic and open cholecystectomy according to the surgeon preference.
Sonography was done in all patients before operation and repeated in 3 month and 12 month
after operation. Significant statistical changes in the common bile duct diameter were studied
in the time elapsed. SPSS Software and t-test were utilized in order to analysze the data.
Results: In all three groups (total, laparoscopic and open) the common bile duct diameter
showed significant statistical changes (P<0.05) after operation. The measures in 3 and 12
month follow up revealed return of the diameter to pre-operation values. The values in 3 and
12 month had no statistically significant difference as compared to pre-operation ones.
Conclusion: Common bile duct diameter show a significant changes after laparoscopic and
open cholecystectomy but it is transient and should not be mistaken with bile duct injury and
return to pre-operation values soon.

Keywords

Cholecytectomy – Common Bile Duct Laparoscopy Gallbladder

© 2014, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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