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Updated: Jul 10, 2026
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
[Single-stage management of common duct stones by video-assisted laparoscopy. Analysis of 10 years' experience]
Luis T Chiappetta-Porras1, Eduardo D Nápoli, Carlos M Canullán
1Servicio de Cirugía, Hospital General de Agudos Cosme Argerich, Buenos Aires, Argentina.
Introduction:
The management of patients with gallstone disease and ductal calculi is controversial. The main options are one-stage or two-stage management.
Material And Method:
We performed a retrospective analysis of the experience gained over 10 years in the one-stage management of common duct stones in a high-volume tertiary hospital.
Results:
A total of 569 patients were initially treated by laparoscopy. Of these, 412 (76.3%) underwent the transcystic approach, 128 (23.7%) underwent laparoscopic choledochotomy and 29 (5%) were converted to open surgery. Overall morbidity and mortality were 2.46% and 0.52%, respectively.
Conclusions:
In high-volume centers, one-stage laparoscopic management of common duct stones is safe and feasible, with a high proportion of patients that only require a transcystic approach.
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