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Related Experiment Video

Updated: Feb 26, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Laparoscopic Choledochoduodenostomy.

Adolfo Cuendis-Velázquez1, Mario E Trejo-Ávila1, Enrique Rosales-Castañeda1

  • 1Servicio de Cirugía General y Endoscópica, Hospital General Dr. Manuel Gea González, Ciudad de México, México.

Cirugia Espanola
|July 24, 2017
PubMed
Summary
This summary is machine-generated.

Laparoscopic choledochoduodenostomy offers a safe and effective minimally invasive option for difficult common bile duct stones unresponsive to endoscopic retrograde cholangiopancreatography (ERCP). This procedure benefits elderly patients with comorbidities, providing advantages over traditional open surgery.

Keywords:
CholangioscopyColangioscopiaColedocolitiasis complejaColedocoscopiaColédoco-duodeno anastomosis laparoscópicaDifficult common bile duct stonesLaparoscopic choledochoduodenostomySump syndromeSíndrome del sumidero

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Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Minimally Invasive Surgery

Background:

  • Difficult choledocholithiasis presents challenges in treatment selection.
  • Current options include open surgery and hybrid laparo-endoscopic procedures.
  • Laparoscopic choledochoduodenostomy is explored as an alternative bypass procedure.

Purpose of the Study:

  • To analyze the outcomes of laparoscopic choledochoduodenostomy for difficult common bile duct stones.
  • To evaluate the safety and efficacy of this minimally invasive approach.

Main Methods:

  • Prospective observational study (March 2011 - June 2016).
  • Included patients with difficult common bile duct stones requiring biliary bypass (unresolved by ERCP).
  • Laparoscopic bile duct exploration with choledochoduodenostomy and intraoperative cholangioscopy performed.

Main Results:

  • 19 elderly patients (mean age 72.4 years) with comorbidities included.
  • Mean follow-up of 18 months showed normalization of liver enzymes in all patients.
  • One patient developed sump syndrome; one died from nosocomial pneumonia.

Conclusions:

  • Laparoscopic choledochoduodenostomy with intraoperative cholangioscopy is safe and effective for difficult common bile duct stones.
  • It is a suitable option for elderly patients with multiple comorbidities.
  • Offers benefits of minimally invasive surgery for complex biliary stone cases.