Article
Surgery
Lunjian Xiang, Jingjing Li, Dingzhi Liu, Lang Yan, Hongrui Zeng, Yan Liu
Summary: This prospective cohort study confirms that primary closure following laparoscopic common bile duct exploration is safe and feasible for the treatment of choledocholithiasis, effectively preventing complications such as bile leakage, biliary peritonitis, and T-tube displacement and water-electrolyte disorders.
WORLD JOURNAL OF SURGERY
(2023)
Article
Biochemistry & Molecular Biology
Taifeng Zhu, Haoming Lin, Jian Sun, Chao Liu, Rui Zhang
Summary: This study compared the safety and effectiveness of primary duct closure (PDC) and T-tube drainage (TTD) after laparoscopic common bile duct exploration (LCBDE), showing that PDC was superior in terms of operation time, postoperative complications, hospital stay, and expenses. Both RCTs and cohort studies supported PDC as a safe and effective choice for patients with choledocholithiasis after transductal LCBDE.
JOURNAL OF ZHEJIANG UNIVERSITY-SCIENCE B
(2021)
Article
Geriatrics & Gerontology
Lili Fan, Yan Wang, Meilong Wu, Tianchong Wu, Lingna Deng, Yawei Wang, Linsen Liu, Tailai An
Summary: This study aimed to evaluate the safety and feasibility of primary closure of the common bile duct among elderly patients (≥70 years) after laparoscopic common bile duct exploration. The results showed that there were no significant differences in terms of operative time, hospital stay, postoperative complications, and stone recurrence between the group of patients aged ≥70 years and the group of patients aged <70 years.
Review
Surgery
Lalin Navaratne, Alberto Martinez Isla
Summary: This study compared outcomes of transcystic and transductal laparoscopic common bile duct exploration (LCBDE), finding that the transcystic approach had advantages in terms of post-operative morbidity and complications. It is recommended to choose the transcystic route for LCBDE whenever possible.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Yanjun Wang, Youbao Huang, Chunfeng Shi, Linpei Wang, Shengwei Liu, Jiawei Zhang, Wei Wang
Summary: LCBDE with primary closure is a safe and effective treatment for cholangitis caused by CBDSs, and is not inferior to T-tube drainage in suitable patients.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Bin Xu, Tingyi Luo, Tingsong Yang, Shilin Wang, Hongbo Meng, Jian Gong, Bo Zhou, Wenyan Zheng, Zhenshun Song
Summary: This study evaluated the feasibility and benefits of LCBDE-PC for patients with PUAS, showing it to be safe and effective for most patients. However, patients with PUAS need to be cautious about the risk of LCBDE-PC failure and the possibility of longer operative times.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
You Jiang, Jun Zhang, Wenbo Li, Liang Li
Summary: This study investigated the safety and feasibility of primary closure (PC) after emergency laparoscopic common bile duct exploration (LCBDE) in patients with non-severe acute cholangitis (AC). The results showed that PC after LCBDE in choledocholithiasis patients with non-severe AC has superior clinical outcomes compared to T-tube drainage.
UPDATES IN SURGERY
(2022)
Article
Surgery
You Jiang, Jun Lu, Wenbo Li, Jun Zhang, Liang Li
Summary: The safety and feasibility of primary closure after laparoscopic common bile duct exploration (LCBDE) in patients with non-severe acute cholangitis was investigated in this study. The results showed that primary closure after LCBDE is a safe and feasible option for choledocholithiasis patients with non-severe acute cholangitis, with equivalent efficacy and morbidity to elective surgery.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Surgery
Xin Sui, Zhenghui Sui, Xingwei Gu, Mingjin Ding, Ganggang Miao
Summary: The study found that patients with C-tube drainage after LC + LCBDE with primary closure of cystic duct recovered faster and had fewer complications compared to those with T-tube drainage. C-tube drainage is a safe and feasible treatment option for patients with cholecystolithiasis and choledocholithiasis.
FRONTIERS IN SURGERY
(2022)
Review
Medicine, General & Internal
Bo-Ya Chiu, Shu-Hung Chuang, Shih-Chang Chuang, Kung-Kai Kuo
Summary: Situs inversus (SI) is a rare congenital condition characterized by a mirror-image transposition of the major visceral organs. Laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LCBDE) have been successfully performed in SI patients with choledocholithiasis. LCBDE offers advantages such as shorter postoperative hospital stay, cost-effectiveness, and fewer complications, but it is technically demanding, especially in difficult cases like SI.
WORLD JOURNAL OF CLINICAL CASES
(2023)
Article
Surgery
Guodong Li, Qiuping Pang, Hailan Zhai, Xiujuan Zhang, Yanchun Dong, Ji Li, Xinyong Jia
Summary: The clinical efficacy and safety of SpyGlass-guided laser lithotripsy LCBDE for large CBD stones are comparable to traditional LCBDE, but with less invasiveness. Patients in Group A had shorter hospital stays and enhanced recovery compared to Group B.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Ahmad H. M. Nassar, Mahmoud Sallam, Khurram S. Khan, Rhona Kilpatrick, Samer Zino, Tarek Z. Katbeh
Summary: This study proposes a classification system for laparoscopic bile duct exploration (LBDE) based on operative characteristics, and categorizes outcomes into easy and difficult. The results show that difficult LBDE cases are more likely to present with emergencies, obstructive jaundice, previous sphincterotomy, and dilated bile ducts on ultrasound scans. Complication rates and hospital stay are higher for difficult cases compared to easy cases.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Engineering, Biomedical
Xianhua Ma, Shengbin Cai
Summary: A meta-analysis was conducted to evaluate the efficacy and safety of T-tube drainage versus primary suture in laparoscopic common bile duct exploration. The primary suture group showed significant advantages in operative time, postoperative hospital stay, hospital expenses, intraoperative bleeding, and postoperative complications compared to the T-tube drainage group. There was no statistical difference in postoperative bleeding, bile leakage, and bile duct stricture between the two groups.
APPLIED BIONICS AND BIOMECHANICS
(2023)
Article
Gastroenterology & Hepatology
Carmen Paya-Llorente, Carlos Domingo-del Pozo, Paula Gonzalvez-Guardiola, Sandra Santarrufina-Martinez, Eugenia Pareja-Ibars, Aleix Martinez-Perez
Summary: This study aimed to determine the predictive factors for conversion during laparoscopic common bile duct exploration (LCBDE) and assess its implications on patients' postoperative course. The study found that increasing levels of serum bilirubin and emergency setting were independent predictors for conversion, while age was associated with lower odds of conversion. Conversion during LCBDE was associated with increased postoperative morbidity.
Article
Surgery
Qingda Wang, Xiaozhou Zhang, Louzong Sun, Nan Yang
Summary: The study demonstrates that two-layered primary closure of the common bile duct can reduce the risk of postoperative bile leakage after laparoscopic common bile duct exploration. There were no significant differences in other parameters, and no bile duct stenosis was observed during follow-up.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2021)