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Updated: Aug 12, 2026
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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
Early analysis of laparoscopic common bile duct exploration simulation
Phillip M Kemp Bohan1, Christopher R Connelly2, Jeff Crawford2
1Duke University School of Medicine, Duke University Medical Center, Durham, NC, USA; Oregon Health & Science University, Department of Surgery, Portland, OR, USA.
American Journal of Surgery
|April 2, 2017
Summary
This study shows a laparoscopic common bile duct exploration (LCBDE) simulation course effectively improves procedural skills for resident surgeons and practicing surgeons. Practicing surgeons reported increased comfort and utilization of LCBDE after the course.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- A simulation course for laparoscopic common bile duct exploration (LCBDE) was developed for surgical residents and practicing surgeons.
- The study hypothesized that course completion would enhance LCBDE procedural skills and increase its utilization.
Purpose of the Study:
- To evaluate the effectiveness of an LCBDE simulation course for resident surgeons (RS) and practicing surgeons (PS).
- To assess improvements in procedural skills and confidence in performing LCBDE.
Main Methods:
- Prospective enrollment of RS and PS.
- Pre- and post-course assessments included written examinations and LCBDE simulations.
- PS completed surveys at baseline, post-course, and 1-year follow-up.
Main Results:
- All participants showed significant improvement in written test scores and LCBDE simulation times.
- No significant differences in pre- or post-course assessment scores between RS and PS.
- Practicing surgeons reported increased comfort (p=0.03) and all utilized LCBDE at 1-year follow-up.
Conclusions:
- The LCBDE simulation course is suitable for both resident and practicing surgeons.
- The course effectively enhances LCBDE skills, comfort, and utilization among practicing surgeons.
