ArticleSurgical endoscopy2006
Management of common bile duct stones in a rural area of the United States: results of a survey.
Article in Surgical endoscopy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Pooled it
- Early versus delayed laparoscopic cholecystectomy for acute gallstone pancreatitis.The Cochrane database of systematic reviews · 2013Pooled it
- SAGES guidelines for the clinical application of laparoscopic biliary tract surgery.Surgical endoscopy · 2010Guideline
- Feasibility and outcome of transcystic laparoscopic common bile duct exploration as first-line treatment for common bile duct stones: a retrospective cross-sectional study.Surgical endoscopy · 2025Article
- Structured learning and mentoring: shortening the learning curve in laparoscopic common bile duct exploration.Surgical endoscopy · 2024Article
- Moving the needle for laparoscopic common bile duct exploration: defining obstacles for the path forward.Surgical endoscopy · 2024Article
- Contemporary management of concomitant gallstones and common bile duct stones: a survey of Spanish surgeons.Surgical endoscopy · 2021Article
- Single-stage management of choledocholithiasis: intraoperative ERCP versus laparoscopic common bile duct exploration.Surgical endoscopy · 2020Article
- Dynamic analysis of commonly used biochemical parameters to predict common bile duct stones in patients undergoing laparoscopic cholecystectomy.Surgical endoscopy · 2017Article
- A survey of European-African surgeons' management of common bile duct stones.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016Article
- Surgeons, ERCP, and laparoscopic common bile duct exploration: do we need a standard approach for common bile duct stones?Surgical endoscopy · 2016Article
- Risk Factors Associated With Residual Stones in Common Bile Duct Via T Tube Cholangiography After Common Bile Duct Exploration.Medicine · 2015Observational
- Common bile duct exploration in an elderly Asian population.International surgery · 2015Article
- Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy.World journal of gastroenterology · 2014Review
- Minimally invasive treatment of cholecysto-choledocal lithiasis: The point of view of the surgical endoscopist.World journal of gastrointestinal surgery · 2013Article
- [Laparoscopic versus endoscopic primary management of choledocholithiasis. A retrospective case-control study].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2012Article
- Selective use of magnetic resonance cholangiopancreatography in clinical practice may miss choledocholithiasis in gallstone pancreatitis.Canadian journal of surgery. Journal canadien de chirurgie · 2010Article
- Open common bile duct exploration without T-tube insertion- two decade experience from a limited resource setting in the Caribbean.The Indian journal of surgery · 2010Article
- Optimal surgical technique, use of intra-operative cholangiography (IOC), and management of acute gallbladder disease: the results of a nation-wide survey in the UK and Ireland.Annals of the Royal College of Surgeons of England · 2010Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic common bile duct exploration has been reported to be highly successful and cost-effective. It remains unknown to what extent the procedure is used in routine surgical practice.
methodsWe conducted a survey of general surgeons practicing in a rural area of the United States. The type of practice, laparoscopic training, performance of cholangiography, and preferred approach to choledocholithiasis were elicited.
resultsSixty-eight of 207 surveys (33%) were returned. Thirty respondents (45%) indicated that they perform laparoscopic common bile duct explorations. The likelihood of laparoscopic common bile duct exploration increased with a higher number of cholecystectomies per year (p < 0.05, chi-square) but was independent of training or routine cholangiography. The preferred approach to a patient with choledocholithiasis was endoscopic retrograde cholangiopancreatography (75%), followed by laparoscopic (21%) and open exploration (4%). Reasons for not performing laparoscopic exploration were time (58%), equipment (24%), good gastrointestinal backup (6%), reimbursement (3%), increased morbidity (1.5%), lack of skill (1.5%), and other/no reason (18%).
conclusionAlthough 45% of practicing surgeons indicated that they perform laparoscopic common bile duct explorations, only 21% practiced it as their preferred approach. Time constraints and lack of equipment are the main factors preventing the application of the laparoscopic technique toward choledocholithiasis.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.