Related Experiment Video
Updated: Mar 9, 2026
07:36
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
2.5K
Five hundred consecutive laparoscopic common bile duct explorations: 5-year experience at a single institution
Jie Hua1, Hongbo Meng1, Le Yao1
1Department of Hepatobiliary and Pancreatic Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Yanchang Road 301, Shanghai, 200072, China.
Surgical Endoscopy
|January 1, 2017
Summary
Bile leakage after laparoscopic common bile duct exploration (LCBDE) is linked to common bile duct diameter and stone clearance. LCBDE is safer with skilled surgeons and careful patient selection.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Laparoscopic common bile duct exploration (LCBDE) is increasingly used for choledocholithiasis.
- Bile leakage is a significant cause of postoperative morbidity following LCBDE.
- This study evaluates 5-year outcomes of 500 LCBDE procedures.
Purpose of the Study:
- To report the 5-year results of 500 laparoscopic common bile duct explorations (LCBDEs).
- To identify risk factors associated with bile leakage after LCBDE.
Main Methods:
- Retrospective analysis of 500 consecutive LCBDEs performed between September 2011 and June 2016.
- Clinical data were collected and analyzed.
- Logistic regression was used for univariable and multivariable analysis of bile leakage.
Main Results:
- Successful stone clearance was achieved in 99% of patients.
- Overall morbidity was 5%, with bile leakage occurring in 3.4% of cases (17 patients).
- Non-dilated common bile duct (CBD) and failed stone clearance were identified as significant risk factors for bile leakage.
Conclusions:
- Bile leakage post-LCBDE is associated with CBD diameter and stone clearance success.
- LCBDE can be performed more safely by experienced laparoscopic surgeons through careful patient selection.
