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

Choledocholithiasis: overdiagnosed endoscopically and undertreated laparoscopically.

Christine J O'Neill1, Donna M Gillies, Jon S Gani

  • 1Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia. chris_o_neill@fastmail.fm

ANZ Journal of Surgery
|June 5, 2008
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

You might also read

Related Articles

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

Sort by
Same author

Better outcomes for the older surgical patient trial (BOOST): protocol for a hybrid type 1 effectiveness-implementation trial of an embedded geriatric perioperative service within emergency and elective surgery in an Australian tertiary referral hospital.

BMJ open·2026
Same author

Sleepless Surgeons: Insights From a Study on Consultant On-Call Interruptions.

ANZ journal of surgery·2026
Same author

Prospective randomised controlled trial of the use of nasogastric tubes in patients with adhesive small bowel obstruction (ASBO): protocol for the NASBO study.

BMJ open·2025
Same author

Genetic modification of the AJCC classification of papillary thyroid cancer: an international, multicentre, retrospective cohort study.

The Lancet. Oncology·2025
Same author

Development of a Decision Aid for Patients With Low-Risk Thyroid Cancer: A Mixed-Methods Analysis of Feedback From Both Patient and Clinicians.

World journal of surgery·2025
Same author

Thyroid Cancer Survivors Experience Persistent Symptoms and Health-Related Quality-of-Life Deficits 12 Months Following Surgery.

Thyroid : official journal of the American Thyroid Association·2025

Preoperative endoscopic retrograde cholangiopancreatography (ERCP) is often unnecessary for common bile duct stones. Open common bile duct exploration offers higher success rates than laparoscopic approaches, and intraoperative stenting is underused.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Surgical Endoscopy

Background:

  • Meta-analyses suggest operative common bile duct (CBD) exploration may be superior to ERCP for choledocholithiasis with gallbladder in situ.
  • Laparoscopic exploration expertise varies, potentially impacting transferability.
  • Institutional review of choledocholithiasis management was conducted.

Purpose of the Study:

  • To evaluate the effectiveness of different management strategies for choledocholithiasis.
  • To compare preoperative ERCP, open CBD exploration, and laparoscopic CBD exploration.
  • To assess the utilization of antegrade transampullary endobiliary stenting.

Main Methods:

  • Retrospective review of patients undergoing cholecystectomy in 2004-2005.

Related Experiment Videos

  • Analysis of choledocholithiasis incidence and management outcomes.
  • Comparison of clearance rates based on surgical approach and surgeon specialty.

    • Main Results:

    • Choledocholithiasis incidence was 10.3%.
    • Preoperative ERCP had a low diagnostic yield (30% therapeutic rate).
    • Open CBD exploration achieved 100% clearance; laparoscopic exploration had 58% clearance. Hepatobiliary surgeons had higher clearance rates (82%) than general surgeons (56%).

    Conclusions:

    • Preoperative ERCP appears overutilized for choledocholithiasis.
    • Laparoscopic CBD exploration is less successful than open exploration.
    • Antegrade transampullary intraoperative endobiliary stenting is underutilized by non-hepatobiliary surgeons.