Laparoscopic Common Duct Exploration in the Management of Choledocholithiasis

Overview

Journal Am J Surg

Specialty General Surgery

Date 2000 Aug 10

PMID 10930482

Citations 21

Authors

D M Lauter

E J Froines

Affiliations

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Abstract

Background: Optimal treatment strategies for addressing common duct stones at laparoscopic cholecystectomy remain controversial. The study presents the authors' experience with laparoscopic common bile duct exploration (LCBDE).

Methods: A retrospective review was performed of 71 LCBDEs performed over 5 years using either transcystic duct flushing and mechanical techniques, transcystic duct basket retreival techniques, or laparoscopic choledochotomy.

Results: Laparoscopic CBDE resulted in ductal clearance in 61 of 71 (85%) cases with only 1 case of unsuspected retained common duct stones and only 1 major complication. Review of the cases that did not result in common duct clearance suggests that the success rate of laparoscopic CBDE could be increased.

Conclusions: Laparoscopic CBDE is an effective treatment for concurrent gallstones and common duct stones and avoids the potential morbidity of an endoscopic sphincterotomy. General surgeons with adequate training and experience can perform laparoscopic CBDE safely and effectively.

Citing Articles

Comparison of the efficacy of LTCBDE and LCBDE for common bile duct stones: a systematic review and meta-analysis.

Zheng B, Lu Y, Li E, Bai Z, Zhang K, Li J Front Surg. 2025; 11():1412334.

PMID: 39845028 PMC: 11750767. DOI: 10.3389/fsurg.2024.1412334.

Current management of concomitant cholelithiasis and common bile duct stones.

Pavlidis E, Pavlidis T World J Gastrointest Surg. 2023; 15(2):169-176.

PMID: 36896310 PMC: 9988640. DOI: 10.4240/wjgs.v15.i2.169.

Reinterventions following laparoscopic cholecystectomy and bile duct exploration. A review of prospective data from 5740 patients.

Ng H, Nassar A Surg Endosc. 2021; 36(5):2809-2817.

PMID: 34076762 PMC: 9001563. DOI: 10.1007/s00464-021-08568-x.

Outcomes of laparoscopic bile duct exploration for choledocholithiasis with small common bile duct.

Huang X, Wu J, Bai Y, Wu J, Lv J, Chen W World J Clin Cases. 2021; 9(8):1803-1813.

PMID: 33748229 PMC: 7953400. DOI: 10.12998/wjcc.v9.i8.1803.

Safety and efficacy of laparoscopic common bile duct exploration for the patients with difficult biliary stones: 8 years of experiences at a single institution and literature review.

Ma Z, Zhou J, Yao L, Dai Y, Xie W, Song G Surg Endosc. 2021; 36(1):718-727.

PMID: 33619595 DOI: 10.1007/s00464-021-08340-1.