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Related Experiment Video

Updated: Jul 14, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
04:03

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

Laparoscopic primary choledochorrhaphy over endonasobiliary drainage tubes.

H-F Zhang1, S-Y Hu, G-Y Zhang

  • 1Department of General Surgery, Qilu Hospital of Shandong University, Wenhua Xi Road 107#, Jinan, 250012, People's Republic of China.

Surgical Endoscopy
|May 22, 2007
PubMed
Summary

Laparoscopic choledochotomy using endonasobiliary drainage (ENBD) tubes offers a safe alternative to T-tubes, reducing complications and hospital stays. This method effectively decompresses the biliary tree and allows for postoperative cholangiography.

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Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Minimally Invasive Surgery

Background:

  • T-tubes are standard for laparoscopic choledochotomy but associated with high morbidity.
  • Seeking safer alternatives to T-tubes in biliary decompression is crucial.

Purpose of the Study:

  • To evaluate laparoscopic primary choledochorrhaphy over endonasobiliary drainage (ENBD) tubes as an alternative to T-tubes.
  • To assess the safety and efficacy of ENBD tubes in laparoscopic choledochotomy.

Main Methods:

  • A prospective study of 23 patients with choledocholithiasis undergoing laparoscopic choledochotomy with ENBD tubes.
  • ENBD tubes were placed preoperatively after failed endoscopic sphincterotomy.

Main Results:

Related Experiment Videos

Last Updated: Jul 14, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
04:03

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

  • No conversions to open surgery; mean operative time was 90 minutes.
  • Zero biliary complications (bile leaks, peritonitis, pancreatitis) and no residual stones.
  • Early ENBD tube removal (7-9 days) led to shorter hospital stays (8-14 days).

    • Conclusions:

    • Laparoscopic choledochotomy over ENBD tubes is technically feasible and safe.
    • ENBD tubes provide effective biliary decompression and facilitate postoperative cholangiography.
    • This approach offers an effective alternative to T-tubes, improving patient outcomes.