Recurrent choledocholithiasis following multiple failed endoscopic retrograde cholangiopancreatographies: a case for laparoscopic choledochoduodenostomy.
Case report details successful laparoscopic choledochoduodenostomy for recurrent choledocholithiasis, indicating safer alternatives to ERCP in elderly patients.
Key Points
Laparoscopic choledochoduodenostomy effectively addresses recurrent choledocholithiasis when ERCP fails, offering a viable surgical option.
The patient experienced Escherichia coli bacteremia and managed small bowel obstruction post-surgery, underlining potential complications.
Endoscopic retrograde cholangiopancreatography was the initial approach, emphasizing its limitations in certain cases like gastric bypass.
A multidisciplinary management approach is crucial for older patients to ensure optimal outcomes in surgical interventions.