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Updated: Jul 9, 2026

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[Laparoscopic transcystic extraction of bile duct stones].

Henrik Krossøy Thomassen1, Fredrik Sandve Kilander1, Tom Mala2

  • 1Avdeling for gastro- og barnekirurgi, Oslo universitetssykehus, Ullevål.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 4, 2024
PubMed
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Laparoscopic transcystic stone extraction combined with cholecystectomy is a safe and effective treatment for common bile duct stones, offering a viable alternative to other procedures with minimal complications.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Minimally Invasive Surgical Techniques
  • Biliary Tract Interventions

Background:

  • Common bile duct stones affect 2-12% of patients undergoing laparoscopic cholecystectomy.
  • Laparoscopic transcystic stone extraction offers a one-step alternative to ERCP for bile duct stones.
  • This procedure demonstrates comparable success and complication rates to ERCP.

Purpose of the Study:

  • To evaluate the clinical outcomes of patients undergoing simultaneous laparoscopic transcystic stone extraction and cholecystectomy.
  • To assess the feasibility and safety of this combined one-step approach.

Main Methods:

  • A retrospective review of patients who underwent simultaneous laparoscopic transcystic stone extraction and cholecystectomy.
  • Data collected from Oslo University Hospital, Ullevål between January 2019 and November 2023.

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  • Inclusion criteria focused on patients undergoing this specific combined procedure.

    • Main Results:

    • The study included 23 patients (16 women, 7 men); 5 had prior Roux-en-Y gastric bypass.
    • Transcystic stone extraction was successful in 22 out of 23 patients.
    • Median surgery length was 190 minutes, with 3 patients experiencing mild complications. Median hospital stay was 1 day.

    Conclusions:

    • Laparoscopic transcystic stone extraction combined with cholecystectomy is an effective treatment for common bile duct stones.
    • This approach is associated with a low rate of complications.
    • It represents a valuable alternative for managing common bile duct stones during cholecystectomy.