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Updated: Mar 11, 2026
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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
818
A 23 year experience with laparoscopic common bile duct exploration
Silvia Quaresima1, Andrea Balla1, Mario Guerrieri2
1Department of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
Summary
Laparoscopic common bile duct exploration during laparoscopic cholecystectomy is effective for bile duct stones, offering benefits like shorter hospital stays and lower costs. This single-stage procedure demonstrates safety and efficacy in expert centers.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Laparoscopic cholecystectomy (LC) is a common procedure.
- Common bile duct (CBD) stones often accompany gallstones.
- Traditional treatment for CBD stones can involve multiple stages.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic common bile duct exploration (LCBDE) performed during LC.
- To compare LCBDE outcomes with traditional two-stage treatments.
- To report institutional experience with LCBDE.
Main Methods:
- Retrospective analysis of patients undergoing LCBDE during LC.
- Categorization of LCBDE into trans-cystic duct exploration (TCD-CBDE) and choledochotomy (C-CBDE).
- Assessment of operative time, morbidity, residual stones, and long-term recurrence.
Main Results:
- LCBDE was performed in 384 of 3444 LC patients (11%).
- Complete ductal clearance was achieved in 95% of patients.
- Long-term recurrent stone rate was 2% after a mean follow-up of 189 months.
Conclusions:
- LCBDE during LC is a safe and effective single-stage treatment for CBD stones.
- The procedure offers advantages over two-stage treatments, including reduced hospital stay and cost.
- Low short- and long-term morbidity rates are observed in expert centers.
