September 19, 2025Journal of Minimal Access SurgeryOpen Access

Laparoscopic common bile duct exploration for managing difficult common bile duct stones after failed endoscopic retrograde cholangiopancreatography

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Authors

SGSanjay Kumar GuptaGlasgow Royal Infirmary AAAaina Aggarwal IBIshan Bansal

Discussion

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Implication

This retrospective cohort study evaluates laparoscopic common bile duct exploration for difficult stones, suggesting it’s an effective alternative after ERCP failure.

Key Points

LCBDE achieved a 90.5% CBD clearance in patients with difficult common bile duct stones.
Among 42 patients, two experienced bile leaks, and residual stones were noted in two more.
Surgical methods involved standard laparoscopic techniques, utilizing tools like the choledochoscope for stone extraction.
Results suggest primary closure of the choledochotomy without drainage may not negatively impact outcomes.

Cite This Study

Gupta et al. (2025) studied this question.

synapsesocial.com/papers/68d43706713b0b5dfea76c8b https://doi.org/10.4103/jmas.jmas_23_25

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Implication

This retrospective cohort study evaluates laparoscopic common bile duct exploration for difficult stones, suggesting it’s an effective alternative after ERCP failure.

Laparoscopic common bile duct exploration for managing difficult common bile duct stones after failed endoscopic retrograde cholangiopancreatography

Discussion

Member takes

Implication

Key Points

Cite This Study

Laparoscopic common bile duct exploration for managing difficult common bile duct stones after failed endoscopic retrograde cholangiopancreatography

Discussion

Member takes

Implication

Key Points

Cite This Study

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