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Laparoscopic Transcystic Common Bile Duct Exploration: 8-Year Experience at a Single Institution

  • Original Article
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Journal of Gastrointestinal Surgery

Abstract

Background

Laparoscopic transcystic common bile duct exploration (LTCBDE) is used to treat cholecystolithiasis and choledocholithiasis. This study aimed to investigate the safety, effectiveness and generalisability of LTCBDE in patients with cholecystolithiasis and choledocholithiasis based on our LTCBDE experience within 8 years.

Methods

Four hundred patients with cholecystolithiasis and choledocholithiasis (including 62 of cholecystolithiasis and choledocholithiasis with common bile duct no-dilatation) treated with LTCBDE at a single centre from January 2014 to February 2022 were retrospectively evaluated. They were divided into the first 200 and last 200 LTCBDE cases. The disease characteristics, cystic duct incision methods, surgical outcomes and follow-up data were analysed retrospectively. Each patient was followed up for > 3 months.

Results

Four hundred patients underwent LTCBDE, including 188 males and 212 females aged from 15 to 91 years (average age: 56 years). LTCBDE was successful in 377 (94.3%) patients, while treatment was converted to laparoscopic choledocholithotomy with T-tube drainage in 23 (5.8%), owing to intraoperative choledochoscope insertion failure. The CBD diameter (10.89 ± 1.76 vs 9.97 ± 2.39, P < 0.05), cystic duct diameter (4.62 ± 1.03 vs 5.03 ± 1.29, P < 0.05), and operation time (164.60 ± 24.30 vs 135.34 ± 30.00, P < 0.05). Residual stones were found in six (1.5%) patients and removed during the second operation; post-operative bile leakage was found in one (0.3%) patient, who was discharged safely after the second operation.

Conclusions

Phase I LTCBDE is safe and effective in treating cholecystolithiasis and choledocholithiasis. With continuous technological advances, LTCBDE has been effectively promoted and applied.

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Data Availability

The data that support the findings of this study are available from the corresponding author, [Lu Fang], upon reasonable request.

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Acknowledgements

We would like to thank the contributions of all of the patients in our retrospective study.

Funding

This work was supported by the National Natural Science Foundation of China (Grant No. 82160578); the Natural Science Foundation of Jiangxi Province (Grant Nos. 20212BCJ23024, 20202BAB216029, and 20202BABL206095); the Health Department of Jiangxi Province (Grant Nos. 20198020, 202210033); and the Education Department of Jiangxi Province (Grant No. GJJ190019).

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Authors and Affiliations

  1. Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Mingde Road No. 1, Nanchang, 330000, Jiangxi, China

    Jian Huang M.D, Wei Hu M.D, Jinghang Liu M.D, Xinguo Tang M.D, Yuting Fan M.D, Liangzhi Xu M.D, Tiande Liu Ph.D., Hu Xiong M.D, Wen Li Ph.D., Xiaowei Fu Ph.D., Bo Liang Ph.D. & Lu Fang Ph.D.

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  1. Jian Huang M.D
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  2. Wei Hu M.D
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  3. Jinghang Liu M.D
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  4. Xinguo Tang M.D
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  5. Yuting Fan M.D
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  6. Liangzhi Xu M.D
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  10. Xiaowei Fu Ph.D.
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  11. Bo Liang Ph.D.
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  12. Lu Fang Ph.D.
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Contributions

Conception and design of the manuscript: Bo Liang, Lu Fang, and Jian Huang. Acquisition of data: Yuting Fan, Liangzhi Xu, Jinghang Liu, Xinguo Tang, and Wei Hu. Analysis and interpretation of data: Lu Fang, Jian Huang, Tiande Liu, Hu Xiong, Wen Li, and Xiaowei Fu. Drafting of the manuscript: all the authors. Critical revision of the final version to be published: all the authors. Approval of the final version to be published: all the authors.

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Correspondence to Lu Fang Ph.D..

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Huang, J., Hu, W., Liu, J. et al. Laparoscopic Transcystic Common Bile Duct Exploration: 8-Year Experience at a Single Institution. J Gastrointest Surg 27, 555–564 (2023). https://doi.org/10.1007/s11605-023-05594-z

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  • DOI: https://doi.org/10.1007/s11605-023-05594-z

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