Year 2020 / Volume 112 / Number 8
Original
Differences between residual and primary choledocholithiasis in cholecystectomy patients

615-619

DOI: 10.17235/reed.2020.6760/2019

José Ruiz Pardo, Andrés García Marín, Francisco Javier Ruescas García, Miguel Jurado Román, Marcelo Scortechini, María Pilar Sagredo Rupérez, Juan Valiente Carrillo,

Abstract
Introduction: choledocholithiasis can be primary from stones originally formed in the choledocho or secondary from stones that have migrated from the gallbladder to the choledocho. The objective of this study was to determine the clinical differences between both types of choledocholithiasis in cholecystectomy patients. Material and methods: a comparative and retrospective study was performed of cholecystectomy patients who presented choledocholithiasis. Residual or secondary choledocholithiasis (group 1) was defined as those which appear in the first two years after cholecystectomy and primary choledocholithiasis (group 2) was defined as those which appear two years after cholecystectomy. Choledocholithiasis was confirmed by endoscopic retrograde cholangiopancreatography (ERCP) or surgery. Results: patients with primary choledocholithiasis (n = 14) were older (61.5 ± 20.3 vs 74.4 ± 10.5 years; p = 0.049) and had a greater body mass index (BMI) (27.7 ± 4.3 vs 31.6 ± 4.6 kg/m2; p = 0.043) and a larger extrahepatic bile duct diameter (10.7 ± 2.7 vs 14.7 ± 3.5 mm; p = 0.004) compared to patients with residual or secondary choledocholithiasis (n = 11). All patients were treated by ERCP. There were no differences between groups 1 and 2 regarding recurrences (36.2 % vs 14.3 %; p = 0.350), disease-free survival (64.6 ± 30.9 vs 52.2 ± 37.7 months; p = 0.386) and overall survival (73.6 ± 32.4 vs 54 ± 41.9 months; p = 0.084). Conclusions: patients with primary choledocholithiasis were older and had a greater BMI and a larger diameter of the bile duct compared to patients with residual or secondary choledocholithiasis. ERCP is a good therapeutic option for the resolution of both types of choledocholithiasis.
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References
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Ruiz Pardo J, García Marín A, Ruescas García F, Jurado Román M, Scortechini M, Sagredo Rupérez M, et all. Differences between residual and primary choledocholithiasis in cholecystectomy patients. 6760/2019


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Publication history

Received: 19/11/2019

Accepted: 18/12/2019

Online First: 04/06/2020

Published: 30/07/2020

Article revision time: 26 days

Article Online First time: 198 days

Article editing time: 254 days


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