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Updated: May 4, 2026
05:36
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
910
Single-incision laparoscopic common bile duct exploration with conventional instruments: an innovative technique and
Shu-Hung Chuang1, Pai-Hsi Chen, Chih-Ming Chang
1Department of Biological Science and Technology, National Chiao Tung University, No.75 Po-Ai Street, Hsin-Chu, 30068, Taiwan.
Summary
Single-incision laparoscopic common bile duct exploration (SILCBDE) offers comparable safety and efficacy to standard laparoscopic common bile duct exploration (LCBDE). This innovative technique shows promise for treating choledocholithiasis with excellent stone clearance rates.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
- Surgical Innovation
Background:
- Single-incision laparoscopic surgery (SILS) has advanced rapidly.
- This study introduces single-incision laparoscopic common bile duct exploration (SILCBDE) using conventional instruments.
- A retrospective analysis compared SILCBDE with standard laparoscopic common bile duct exploration (LCBDE).
Purpose of the Study:
- To evaluate the safety and efficacy of SILCBDE.
- To compare SILCBDE outcomes with standard LCBDE for choledocholithiasis.
- To identify key skills required for successful SILCBDE.
Main Methods:
- A retrospective review of 34 patients undergoing LCBDE for choledocholithiasis.
- Seventeen standard LCBDEs and 17 SILCBDEs were performed.
- Simultaneous cholecystectomies were conducted in all cases.
Main Results:
- SILCBDE achieved a 100% stone clearance rate versus 94.1% for standard LCBDE.
- No significant differences in demographics or operative results were observed, except for a higher incidence of acute cholecystitis in the SILCBDE group (76.5% vs. 35.3%).
- Conversion to a four-incision procedure occurred in 5.9% of SILCBDE cases, with a lower overall complication rate in the SILCBDE group (5.9% vs. 11.8%).
Conclusions:
- SILCBDE is a safe and effective alternative to standard LCBDE in experienced surgeons' hands.
- Proficiency in choledochoscope manipulation and bile duct repair are critical for SILCBDE success.
- Further prospective randomized trials and long-term follow-up are recommended.
