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

Multimedia article. Laparoscopic transection choledochoduodenostomy.

A Cuschieri1, G D Adamson

  • 1Scuola Superiore Sant'Anna di Studi Universitari e di perfezionamento, Pisa, Italy. a.cuschieri@dundee.ac.uk

Surgical Endoscopy
|February 16, 2005
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

EQUSUM: Endometriosis QUality and grading instrument for SUrgical performance: proof of concept study for automatic digital registration and classification scoring for r-ASRM, EFI and Enzian.

Human reproduction open·2021
Same author

Top 10 priorities for future infertility research: an international consensus development study.

Fertility and sterility·2020
Same author

Top 10 priorities for future infertility research: an international consensus development study†  ‡.

Human reproduction (Oxford, England)·2020
Same author

International Committee for Monitoring Assisted Reproductive Technologies world report: Assisted Reproductive Technology 2008, 2009 and 2010.

Human reproduction (Oxford, England)·2016
Same author

The Quality of Life of Patients Treated With Robotic Versus Traditional Surgery Results From An Italian Observational Multicenter Study.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research·2016
Same author

Intraluminal magnetisation of bowel by ferromagnetic particles for retraction and manipulation by magnetic probes.

Medical engineering & physics·2014
Same journal

Efficacy and safety of transoral incisionless fundoplication in non-obese and obese adults: a population-based cohort study from the United States.

Surgical endoscopy·2026
Same journal

Minimally invasive versus open surgery for adhesive small bowel obstruction: a systematic review and meta-analysis.

Surgical endoscopy·2026
Same journal

Enhanced view/extended totally extraperitoneal plasty (eTEP) Rives-Stoppa repair versus open Rives-Stoppa repair: a single-center retrospective propensity score-matched cohort study.

Surgical endoscopy·2026
Same journal

Robotic-assisted endoscopic submucosal dissection: a scoping review of preclinical and early clinical evidence.

Surgical endoscopy·2026
Same journal

Conversion of endoscopic sleeve gastroplasty to bariatric surgery.

Surgical endoscopy·2026
Same journal

Artificial intelligence and chatbots in general surgery: a survey among surgeons in Germany, Austria and Switzerland.

Surgical endoscopy·2026
See all related articles

Transection choledochoduodenostomy offers excellent long-term results for patients with common bile duct stones and dilation. This laparoscopic approach demonstrated no deaths and low morbidity in a small elderly cohort.

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Biliary Tract Surgery

Background:

  • Choledochoduodenostomy is indicated for multiple common bile duct calculi and dilated ducts (>2.0 cm) to prevent jaundice and cholangitis.
  • The standard side-to-side anastomosis, while simple, risks duodenobiliary reflux and sump syndrome.
  • Transection choledochoduodenostomy offers an alternative by excluding the distal bile duct.

Purpose of the Study:

  • To evaluate the efficacy and safety of laparoscopic transection choledochoduodenostomy.
  • To assess outcomes in elderly patients with complex common bile duct calculi and dilation.

Main Methods:

  • Laparoscopic transection choledochoduodenostomy was performed in six elderly patients (61-72 years) with multiple ductal calculi and dilated common bile ducts.

Related Experiment Videos

  • Three patients required emergency pigtail stent placement for acute bacterial cholangitis prior to surgery.
  • Operating times decreased from 4 hours for the first case to 2.0-2.5 hours for subsequent cases.

    • Main Results:

    • Excellent long-term results were observed with no mortality.
    • Low postoperative morbidity, including one case of chest infection.
    • Median postoperative hospital stay was 5 days.

    Conclusions:

    • Laparoscopic transection choledochoduodenostomy is a safe and effective procedure for managing complex common bile duct calculi in elderly patients.
    • This technique provides excellent outcomes, avoiding complications associated with standard side-to-side anastomosis.