ReviewSurgical endoscopy2022
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.
Review in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Comparison of Efficacy and Safety of Laparoscopic Holmium laser Lithotripsy and Laparoscopic Bile Duct Exploration for Bile Duct Stones: A Systematic Review and Meta-Analysis.World journal of surgery · 2023Pooled it
- Clinical application of indocyanine green fluorescence navigation technique in laparoscopic common bile duct exploration for complex hepatolithiasis.BMC surgery · 2024Trial
- Transcystic papillary balloon dilatation vs. laparoscopic choledochoscopy for choledocholithiasis: a retrospective observational propensity score-matched cohort study.Surgical endoscopy · 2026Observational
- Comparison of modified versus conventional laparoscopic transcystic biliary drainage in the management of cholecystocholedocholithiasis: safety and efficacy.Updates in surgery · 2026Article
- Clinical application of a self- dislodging biliary stent for one-stage suturing following choledochotomy.Langenbeck's archives of surgery · 2025Article
- Clinical outcomes after laparoscopic left hemihepatectomy with and without biliary duct exploration.BMC surgery · 2025Article
- Efficacy and safety of endoscopic retrograde cholangiopancreatography in the treatment of bile duct stones.World journal of gastrointestinal surgery · 2025Article
- [Laparoscopic modified transcystic biliary drainage for the treatment of biliary stones and diagnosis of biliary disease].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025Article
- Ice-breaking sign: A radiological sign influencing the treatment strategies for choledocholithiasis.World journal of gastrointestinal surgery · 2025Article
- Risk factors for bile leakage after laparoscopic common bile duct exploration in older patients with choledocholithiasis.World journal of gastrointestinal surgery · 2025Article
- Article
- The incidence, technical management and outcomes of impacted stones encountered during 1447 laparoscopic bile duct explorations.Surgical endoscopy · 2025Article
- The safety and efficacy of primary duct closure after laparoscopic common bile duct exploration in patients with mild-to-moderate calculus-associated acute cholangitis: a retrospective cohort study.Updates in surgery · 2024Article
- Is an 8 mm cutoff necessary when performing primary common bile duct closure after laparoscopic common bile duct exploration?Pakistan journal of medical sciences · 2024Article
- Review
- A proposed difficulty grading system for laparoscopic bile duct exploration: benefits to clinical practice, training and research.Surgical endoscopy · 2023Article
- Primary suture for patients of bile duct stones after laparoscopic biliary tract exploration: a retrospective cohort study.Updates in surgery · 2023Article
- The efficacy and safety of laparoscopic common bile duct exploration and cholecystectomy for the treatment of difficult common bile duct stones combined with gallstones: a multicenter retrospective study.Langenbeck's archives of surgery · 2023Article
- Is T-tube drainage no longer needed for laparoscopic common bile duct exploration? A retrospective analysis and literature review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- [Clinical effect of laparoscopic transcystic drainage combined with common bile duct exploration for the patients with difficult biliary stones].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022Article
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic common bile duct exploration (LCBDE) has gained wide popularity for the treatment of choledocholithiasis. However, it remains unclear whether LCBDE is a better alternative option for the patients with difficult biliary stones. Thus, the aim of the present study was to explore the safety and efficacy of LCBDE for these patients by retrospectively analyzing our data and combing with literature review.
methodsBetween September 2011 and February 2019, 1064 consecutive patients who underwent LCBDE at Shanghai Tenth People's Hospital were reviewed. The clinical data of patients with difficult biliary stones were selected and retrospectively analyzed.
resultsOf these patients, 334 cases were confirmed with difficult biliary stones, and the overall complete stone clearance rate was 98.8% (330/334). 34 cases (10.2%) were performed with laser lithotripsy. A total of 296 patients (88.6%) underwent primary closure of common bile duct, and T-tube drainage was indwelled in 38 patients (11.4%). No bile duct injury, bleeding, perforation and surgery-related deaths were observed. The overall morbidity rate was 6.6%. 16 cases (4.8%) occurred in bile leakage with primary closure procedure, and all of them were managed successfully with conservative therapy. The median follow-up period was 9 months with stone recurrence occurring in 9 patients (2.7%). There was no evidence of bile duct stricture in all cases.
conclusionsThe current study suggests that LCBED is a considerable safe and effective option for the patients with difficult biliary stones. A randomized clinical trial is needed to further evaluate the benefit of LCBDE in this subgroup.
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