ArticleSurgical endoscopy2011
Laparoscopic management of CBD stones: an Indian experience.
Article in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 52 citations in OpenAlex.
- Single-stage management with combined tri-endoscopic approach for concomitant cholecystolithiasis and choledocholithiasis.Surgical endoscopy · 2016Trial
- Comparison between intraoperative cholangiography and choledochoscopy for ductal clearance in laparoscopic CBD exploration: a prospective randomized study.Surgical endoscopy · 2015Trial
- Management of multiple common bile duct stones via laparoscopic transcholedochal exploration: an observational study.Frontiers in surgery · 2026Article
- Epidemiological Survey of Different Treatments for Choledocholithiasis in Taiwan: A Nationwide, Population-Based Cohort Analysis.Journal of clinical medicine · 2022Article
- Primary closure with knotless barbed suture versus traditional T-tube drainage after laparoscopic common bile duct exploration: a single-center medium-term experience.The Journal of international medical research · 2020Article
- Surgical (Open and laparoscopic) management of large difficult CBD stones after different sessions of endoscopic failure: A retrospective cohort study.Annals of medicine and surgery (2012) · 2019Article
- Laparoscopic Choledochotomy in a Solitary Common Duct Stone: A Prospective Study.Minimally invasive surgery · 2018Article
- Single-stage procedure for the treatment of cholecysto-choledocolithiasis: a surgical procedures review.Therapeutics and clinical risk management · 2018Review
- Laparoscopic common bile duct exploration: a safe and definitive treatment for elderly patients.Surgical endoscopy · 2017Article
- Intraoperative ERCP for management of cholecystocholedocholithiasis.Surgical endoscopy · 2017Article
- Endoscopic versus laparoscopic treatment for choledocholithiasis: a prospective randomized controlled trial.Endoscopy international open · 2016Article
- Role of laparoscopic common bile duct exploration in the management of choledocholithiasis.World journal of gastrointestinal surgery · 2016Review
- Results of treatment of patients with gallstone disease and ductal calculi by single-stage laparoscopic cholecystectomy and bile duct exploration.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014Article
- Preoperative factors predicting poor outcomes following laparoscopic choledochotomy: a multivariate analysis study.Canadian journal of surgery. Journal canadien de chirurgie · 2013Article
- Synchronous vs sequential laparoscopic cholecystectomy for cholecystocholedocholithiasis.World journal of gastroenterology · 2013Article
- Management of common bile duct stones in the laparoscopic era.The Indian journal of surgery · 2012Article
- Single-stage treatment with intraoperative ERCP: management of patients with possible choledocholithiasis and gallbladder in situ in a non-tertiary Spanish hospital.Surgical endoscopy · 2012Article
- Intraoperative ERCP: What role does it have in the era of laparoscopic cholecystectomy?World journal of gastrointestinal endoscopy · 2011Article
- Long-term outcomes of laparoscopic cholecystectomy: a prospective piecewise linear regression analysis.Surgical endoscopy · 2011Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommon bile duct stones (CBDS) that are seen in the Asian population are very different from those seen in the west. It is not infrequent to see multiple, large, and impacted stones and a hugely dilated CBD. Many of these patients have been managed by open CBD exploration (OCBDE), even after the advent of laparoscopic cholecystectomy (LC), because these large stones pose significant challenges for extraction by endoscopic retrograde cholangiopancreatography. This series presents the largest experience of managing CBDS using a laparoscopic approach from Indian subcontinent.
methodsBetween 2003 and 2009, 150 patients with documented CBDS were treated laparoscopically at a tertiary care hospital in New Delhi. Of these, 4 patients were managed through transcystic route and 140 through the transcholedochal route.
resultsThere were 34 men and 116 women patients with age ranging from 15 to 72 years. The mean size of the CBD on ultrasound was 11.7 ± 3.7 mm and on MRCP 13.8 ± 4.7 mm. The number of stones extracted varied from 1 to 70 and the size of the extracted stones from 5 to 30 mm. The average duration of surgery was 139.9 ± 26.3 min and the mean intraoperative blood loss was 103.4 ± 85.9 ml. There were 6 conversions to open procedures, 1 postoperative death (0.7%), and 23 patients (15%) had nonfatal postoperative complications. Three patients had retained stones (2%) and one developed recurrent stone (0.7%).
conclusionsEven in patients with multiple, large, and impacted CBDS, there is scope for a minimally invasive procedure with its attendant benefits in the form of laparoscopic CBD exploration (LCBDE).
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Registered trials
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