{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T23:40:02Z","timestamp":1723074002550},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2922,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:p>The occurrence of retained\/recurrent calculi after primary CBDE followed by temporary T\u2010tube\ndecompression, have remained at rates varying from 5.4% to 20.9% over the last 10 years in spite of\nsophisticated pre and intraoperative imaging techniques. It is postulated that a functional obstruction,\ndue to dysmotility of the SO, lies behind most stone\u2010containing ducts. Thus it seems logical to us that a\npermanent \u201cfenestration\u201d should be the management of most such ducts.<\/jats:p><jats:p>We prospectively followed\u2010up, for one to 10 years, two groups of patients submitted to primary\nCBDE aiming to assess the short and long\u2010term results of two different surgical approaches to duct\nlithiasis. In one (Group A) 162 CBDE\u2032s were performed, out of 680 CHE\u2032s (24%), with a \u201cpositivity\u201d of 68% and in the other (Group B) 80 CBDE\u2032s, out of 438 CHE\u2032s (18%), with a \u201cpositivity\u201d of 70%. In Group A a T\u2010tube decompression was used in 79(49%) and a definitive drainage in 83(51%) whereas in Group B the T\u2010tube was employed in only 3(4%) and some form of permanent \u201cfenestration\u201d in 77(96%). There were no significant differences between the operative mortality rates, which were 2.5% in Group A (1 death post T\u2010tube, 3 post CDJ) and 1.3% in Group B (1 death post CDD). The long\u2010term results, though, were significantly worse among patients of Group A whose ducts were temporarily\ndecompressed: 10\/79 (12.7%) required further aggressive interventional therapy for retained\/recurrent\nstones while only 3.8% (3\/80) in Group A and 1.3% (1\/76) in Group B required revisional surgery for\nbilio\u2010digestive anastomotic complications with cholangitis.<\/jats:p><jats:p>It is concluded that it is against the long\u2010term efficiency of the approach utilized in Group B that the\nnew laparoscopic techniques should be compared.<\/jats:p>","DOI":"10.1155\/1992\/38293","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"35-49","source":"Crossref","is-referenced-by-count":0,"title":["Standard Surgical Approaches to Primary Choledocholithiasis \u2014 Definitive VersusTemporary Decompression"],"prefix":"10.1155","volume":"6","author":[{"given":"Ant\u00f3nio Castro Mendes","family":"de Almeida","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Jos\u00e9","family":"Aldeia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noel Medina","family":"dos Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caetano Winston","family":"Gracias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1992,1,28]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1992\/038293.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1992\/38293","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:59:25Z","timestamp":1723071565000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1992\/38293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.1155\/1992\/38293"],"URL":"https:\/\/doi.org\/10.1155\/1992\/38293","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1992,1]]}}}