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Updated: Aug 19, 2026
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Long-term results after laparoscopic transverse choledochotomy for common bile duct stones
A M Paganini1, M Guerrieri, J Sarnari
1Department of General Surgery, University of Ancona, Umberto I Hospital, 60020, Via Conca, Ancona, Italy. alessandro_paganini1@virgilio.it <alessandro_paganini1@virgilio.it>
Background:
The aim of this study was to evaluate the long-term results of laparoscopic transverse choledochotomy (TC) during laparoscopic cholecystectomy (LC).
Methods:
Ductal stones were present in 344 of 3,212 patients (10.7%) who underwent LC. The procedure was completed laparoscopically in 329 cases (95.6%), with a TC in 138 cases (41.9%) (the subjects of this study), and with a transcystic duct approach in 191 cases (58.1%).
Results:
Biliary drainage was used in 131 of 138 cases (94.9%). There were major complications in eight patients (5.7%), and one patient died (0.7%). Retained stones were seen in 11 cases (8%). None of the patients was lost to follow-up (mean, 72.3 months; range, 11-145). Ductal stones recurred in five patients (3.6%). No signs of bile stasis and no biliary strictures were observed. In all, 121 patients are alive with no biliary symptoms; 16 have died from unrelated causes.
Conclusion:
Long-term follow-up after laparoscopic TC during LC proved its safety and efficacy.