ArticleFrontiers in surgery2026
Management of multiple common bile duct stones via laparoscopic transcholedochal exploration: an observational study.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: The study is an attempt to assess the feasibility of laparoscopic common bile duct exploration (LCBDE) in patients with multiple common bile duct (CBD) stones. Methods: A prospective observational study was conducted over 1 year (2017-2018). Patients with gallbladder Results: A total of 31 patients were enrolled. The mean age was 44.03 ± 13.91 years with a male-to-female ratio of 2.87:1. The mean number of CBD stones was 4.62 ± 1.91. LCBDE was technically successful in 27 patients (87.09%), while 4 (12.9%) required open conversion. The failure rate of on-table choledochoscopy for complete stone clearance was 6.4%. The mean operative time in the successful laparoscopic group was 110.96 ± 20.15 min. No intraoperative complications were encountered. A T-tube was placed in 23 patients (74.19%), while 7 (22.58%) underwent primary closure of the CBD. One patient required Roux-en-Y hepaticojejunostomy for concomitant hepatolithiasis. Five patients (16.1%) developed postoperative complications (4 minor and 1 major). The mean length of hospital stay was 4.09 ± 1.10 days. On follow-up, there was no evidence of retained/residual stone. There was no postoperative (30 and 90 days) mortality. The stone clearance rate was 100%. Conclusion: The study showed that transcholedochal LCBDE is a safe procedure in terms of stone clearance rates, with acceptable perioperative complications and conversion rates for multiple CBD stones.
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