Laparoscopic exploration of the common bile duct (CBD) for treating kidney stones is infrequent in the English-speaking Caribbean, with only 35 procedures documented over 10 years.
The procedure achieved a high stone clearance rate of 96.3%, demonstrated low complication rates (9.7% minor morbidity), and involved a conversion to open surgery in 13% of cases.
Overall, the study concludes that laparoscopic CBD exploration is a viable option in resource-limited Caribbean settings, with better outcomes compared to traditional endoscopic stone extraction methods.
This paper provides a field report on a hospital fire at the St. Jude hospital in the Eastern Caribbean Island of Saint Lucia. The hospital was completely destroyed by the fire and three deaths were recorded.