Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic Common Bile Duct Exploration By Choledochotomy.

Dorman1, Franklin

  • 1Texas Endosurgical Institute, San Antonio, TX, USA

Seminars in Laparoscopic Surgery
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Erratum: daily rifapentine for treatment of pulmonary tuberculosis: a randomized, dose-ranging trial.

American journal of respiratory and critical care medicine·2015
Same author

pH-dependent toxicity of copper and uranium to a tropical freshwater alga (Chlorella sp.).

Aquatic toxicology (Amsterdam, Netherlands)·2001
Same author

Portevin-Le chatelier effect

Physical review. E, Statistical physics, plasmas, fluids, and related interdisciplinary topics·2001
Same author

Characterization of microsatellite loci in the eastern oyster, crassostrea virginica

Molecular ecology·2000
Same author

Liposuction: fact, fiction, and future(1).

Current surgery·2000
Same author

Protein Kinase C Mediates Prolactin Regulation of Mitochondrial Aspartate Aminotransferase Gene Expression in Prostate Cells.

Molecular urology·2000

Laparoscopic common bile duct exploration offers a single-step solution for choledocholithiasis, reducing costs and complications. This minimally invasive approach achieved a 94.1% success rate in clearing bile duct stones.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Innovation

Background:

  • Choledocholithiasis (bile duct stones) is often treated with a multi-step approach, increasing costs and risks.
  • Existing treatments can lead to complications and prolonged patient care.
  • A more efficient, single-stage management strategy is needed.

Purpose of the Study:

  • To evaluate the efficacy and safety of laparoscopic common bile duct exploration (LCBDE) with choledochotomy as a one-step treatment for choledocholithiasis.
  • To assess the success rate, retained stone rate, and conversion rate of LCBDE.
  • To determine the utility of intraoperative fluorocholangiography in this procedure.

Main Methods:

  • Retrospective analysis of 137 patients undergoing LCBDE for choledocholithiasis.

Related Experiment Videos

  • Routine use of intraoperative fluorocholangiography to guide stone extraction.
  • Documentation of procedural success, retained stones, and need for conversion to open surgery.

    • Main Results:

    • Successful common bile duct clearance achieved in 94.1% of patients.
    • A low retained stone rate of 2.2%, all managed postoperatively.
    • Conversion to open surgery occurred in only 3.6% of cases.
    • Intraoperative fluorocholangiography demonstrated 99.7% success and was particularly useful for complex stones.

    Conclusions:

    • Laparoscopic common bile duct exploration with choledochotomy is an effective and safe one-step approach for managing choledocholithiasis.
    • This technique minimizes the need for multi-stage treatments, reducing potential complications and healthcare costs.
    • LCBDE is particularly beneficial for patients with proximal or large/multiple bile duct stones.