ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2014
Single-incision laparoscopic common bile duct exploration with conventional instruments: an innovative technique and a comparative study.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Feasibility of transumbilical and prior caesarean scar access in single-incision laparoscopic common bile duct exploration for extrahepatic bile duct stones.Scientific reports · 2026Article
- Routine single-incision laparoscopic common bile duct exploration with concomitant cholecystectomy for elderly patients: a 6-year retrospective comparative study.Surgical endoscopy · 2024Observational
- Laparoscopic common bile duct exploration to treat choledocholithiasis in situs inversus patients: A technical review.World journal of clinical cases · 2023Review
- Single-incision versus four-incision laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II.Surgical endoscopy · 2022Article
- Single-incision laparoscopic surgery to treat hepatopancreatobiliary cancer: A technical review.World journal of gastroenterology · 2022Review
- Single-incision laparoscopic common bile duct exploration in 101 consecutive patients: choledochotomy, transcystic, and transfistulous approaches.Surgical endoscopy · 2018Article
- Laparoscopic transfistulous bile duct exploration for Mirizzi syndrome type II: a simplified standardized technique.Surgical endoscopy · 2016Article
- Single-incision laparoscopic surgery for biliary tract disease.World journal of gastroenterology · 2016Review
- Innovative technique of needlescopic grasper-assisted single-incision laparoscopic common bile duct exploration: A comparative study.World journal of gastroenterology · 2015Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSingle-incision laparoscopic surgery developed rapidly in recent years. We introduce an innovative technique: single-incision laparoscopic common bile duct exploration (SILCBDE) with conventional instruments. A retrospective comparison between SILCBDE and standard laparoscopic common bile duct exploration (LCBDE) was analyzed.
methodsThirty-four patients who underwent LCBDE for choledocholithiasis in a period of 17 months were enrolled. Seventeen standard LCBDEs and 17 SILCBDEs were attempted. Simultaneous cholecystectomies were performed.
resultsThe stone clearance rate was 94.1% (16 patients) in the standard LCBDE group and 100% in the SILCBDE group. There was no statistical difference in demographic distribution, clinical presentations, and operative results between the two groups, except the SILCBDE group had a higher rate of acute cholecystitis than the standard LCBDE group (76.5 vs. 35.3%; p < 0.05). One procedure (5.9%) in the SILCBDE group was converted to a four-incision transcystic LCBDE. The complication rate was 11.8% (two patients) in the standard LCBDE group and 5.9% (one patient) in the SILCBDE group. The average follow-up period was 4.2 months.
conclusionSILCBDE is as safe and efficacious as standard LCBDE in experienced hands. Choledochoscope manipulation and bile duct repair are the key skills. Long-term follow-up and further prospective randomized trials are anticipated.
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