ArticleSurgical endoscopy2016
Laparoscopic common bile duct exploration: 15-year experience in a district general hospital.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Laparoscopic Transcystic Versus Transductal Common Bile Duct Exploration: A Systematic Review and Meta-analysis.World journal of surgery · 2019Pooled it
- Meta-analysis of laparoscopic transcysticBJS open · 2019Pooled it
- Transcystic versus traditional laparoscopic common bile duct exploration: its advantages and a meta-analysis.Surgical endoscopy · 2018Pooled it
- Robotic versus laparoscopic common bile duct exploration: outcomes from a high-volume specialist pancreaticobiliary unit within a structured minimally invasive pathway.Surgical endoscopy · 2026Article
- Safety and outcomes of laparoscopic bile duct exploration: a UK-wide multi-centre study (R-ALiCE).Surgical endoscopy · 2026Article
- The efficacy and safety of laparoscopic common bile duct exploration with primary duct closure for cholecystolithiasis combined with choledocholithiasis.Clinical case reports · 2024Article
- Review
- Comparison of the efficacy of LTCBDE and LCBDE for common bile duct stones: a systematic review and meta-analysis.Frontiers in surgery · 2024Article
- Upfront Laparoscopic Management of Common Bile Duct Stones: What Are the Risk Factors of Failure?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Laparoscopic Transcystic Common Bile Duct Exploration: 8-Year Experience at a Single Institution.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- The single-stage management of bile duct stones is underutilised: A prospective multicentre cohort study with a literature review.Annals of hepato-biliary-pancreatic surgery · 2022Article
- Comparative study of three common bile duct closure techniques after choledocholithotomy: safety and efficacy.Langenbeck's archives of surgery · 2022Article
- Multimodal treatments of "gallstone cholangiopancreatitis".World journal of gastrointestinal endoscopy · 2022Article
- Reinterventions following laparoscopic cholecystectomy and bile duct exploration. A review of prospective data from 5740 patients.Surgical endoscopy · 2022Review
- Safety, quality and efficiency of intra-operative imaging for treatment decisions in patients with suspected choledocholithiasis without pre-operative magnetic resonance cholangiopancreatography.Surgical endoscopy · 2022Article
- Lessons learnt from the first 200 unselected consecutive cases of laparoscopic exploration of common bile duct stones at a district general hospital.Surgical endoscopy · 2021Review
- Laparoscopic Transcystic Common Bile Duct Exploration in the Emergency Is as Effective and Safe as in Elective Setting.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Success of intraoperative imaging and management of suspected choledocholithiasis without pre-operative bile duct imaging - A case series.Annals of medicine and surgery (2012) · 2018Article
- Laparoscopic common bile duct exploration in patients with previous upper abdominal surgery.Surgical endoscopy · 2018Article
- Acute Pancreatitis After Laparoscopic Transcystic Common Bile Duct Exploration: An Analysis of Predisposing Factors in 447 Patients.World journal of surgery · 2018Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe treatment of common bile duct (CBD) stones remains controversial with debate between endoscopic cholangiopancreatography (ERCP) and CBD exploration. A recent meta-analysis has shown no significant difference between these approaches; however, there is a trend in the literature to favour a single-stage procedure in the form of laparoscopic CBD exploration. We report our experience over a 15-year period.
methodsAll cases of CBD exploration were identified from 2000 to 2015 and analysed retrospectively from a large NHS Foundation Trust in Northumbria. There were no exclusions. The mean clinical follow-up was 6 months (range 3-36 months).
resultsA total of 296 patients were included who underwent laparoscopic CBD exploration: 203 were female and 93 were male. The mean age was 60 years (range 16-84 years). A total of 231 procedures were performed electively and 65 as an emergency. Ten procedures were successfully performed as day cases. Eleven procedures were converted to an open procedure due to adhesions or a difficult dissection (4 %). Sixty-three procedures were performed with a transcystic approach with a mean post-op stay of 2 days (range 0-7). A total of 233 procedures were performed with a choledocotomy with a mean post-op stay of 6 days (range 3-14 days). Stone clearance was successful in 255 patients (86 %). Three patients died over the study period. Two were for medical complications and one for abdominal sepsis. Three patients returned to theatre for early post-operative bleeding (1 %). Sixteen patients had persistent bile leaks following a choledocotomy (6.8 %). No patients had a bile leak following transcystic exploration. Fourteen patients were followed up following failed stone removal. Nine had a successful ERCP, three had no stone seen on MRCP, and one patient required re-operation following a failed ERCP.
conclusionsLaparoscopic bile duct exploration can be performed successfully in both the emergency and elective settings. Day-case surgery is feasible in selected patients. A transcystic approach should be favoured where possible.
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