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Lithotripsy Assisted Bile Duct Exploration by Laparoendoscopy (LABEL)

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Laparoscopic Common Bile Duct Exploration

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Abstract

In 2014, we introduced the LABEL technique [1] as “Laser Assisted Bile duct Exploration by Laparoendoscopy,” aimed at decreasing failure of CBD clearance for large and/or impacted stones and increasing the transcystic rate of CBD exploration. Since other methods of lithotripsy can be used to achieve this purpose, we now refer to LABEL as “Lithotripsy Assisted Bile duct Exploration by Laparoendoscopy”.

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References

  1. Navarro-Sánchez A, Ashrafian H, Segura-Sampedro JJ, Martrinez-Isla A. LABEL procedure: laser-assisted bile duct exploration by laparoendoscopy for choledocholithiasis: improving surgical outcomes and reducing technical failure. Surg Endosc. 2017;31(5):2103–2108. https://doi.org/10.1007/s00464-016-5206-1

  2. Orii K, Nakahara A, Takase Y, Ozaki A, Sakita T, Iwasaki Y. Choledocholithotomy by Yag laser with a choledochofiberscope: case reports of two patients. Surgery. 1981;90(1):120–2.

    CAS  PubMed  Google Scholar 

  3. Murray A, Basu R, Fairclough PD, Wood RF. Gallstone lithotripsy with the pulsed dye laser: in vitro studies. Br J Surg. 1989;76(5):457–60. https://doi.org/10.1002/bjs.1800760511.

    Article  CAS  PubMed  Google Scholar 

  4. Spindel ML, Moslem A, Bhatia KS, et al. Comparison of holmium and flashlamp pumped dye lasers for use in lithotripsy of biliary calculi. Lasers Surg Med. 1992;12(5):482–9. https://doi.org/10.1002/lsm.1900120505.

    Article  CAS  PubMed  Google Scholar 

  5. Josephs LG, Birkett DH. Laser lithotripsy for the management of retained stones. Arch Surg May 1992;127(5):603–4; discussion 604–5. https://doi.org/10.1001/archsurg.1992.01420050131017.

  6. Stoker ME, Vose J, O’Mara P, Maini BS. Laparoscopic cholecystectomy. A clinical and financial analysis of 280 operations. Arch Surg May 1992;127(5):589–94; discussion 594–5. https://doi.org/10.1001/archsurg.1992.01420050117015.

  7. Prat F, Fritsch J, Choury AD, Frouge C, Marteau V, Etienne JP. Laser lithotripsy of difficult biliary stones. Gastrointest Endosc. 1994;40(3):290–5. https://doi.org/10.1016/s0016-5107(94)70058-3.

    Article  CAS  PubMed  Google Scholar 

  8. Birkett DH. Technique of cholangiography and cystic-duct choledochoscopy at the time of laparoscopic cholecystectomy for laser lithotripsy. Surg Endosc. 1992;6(5):252–4. https://doi.org/10.1007/BF02498815.

    Article  CAS  PubMed  Google Scholar 

  9. Carroll B, Chandra M, Papaioannou T, Daykhovsky L, Grundfest W, Phillips E. Biliary lithotripsy as an adjunct to laparoscopic common bile duct stone extraction. Surg Endosc. 1993;7(4):356–9. https://doi.org/10.1007/bf00725957.

    Article  CAS  PubMed  Google Scholar 

  10. Stoker ME. Common bile duct exploration in the era of laparoscopic surgery. Arch Surg. 1995;130(3):265–8; discussion 268–9. doi:https://doi.org/10.1001/archsurg.1995.01430030035005.

  11. Schafer SA, Durville FM, Jassemnejad B, Bartels KE, Powell RC. Mechanisms of biliary stone fragmentation using the Ho:YAG laser. IEEE Trans Biomed Eng. 1994;41(3):276–83. https://doi.org/10.1109/10.284946.

    Article  CAS  PubMed  Google Scholar 

  12. Das AK, Chiura A, Conlin MJ, Eschelman D, Bagley DH. Treatment of biliary calculi using holmium: yttrium aluminum garnet laser. Gastrointest Endosc. 1998;48(2):207–9. https://doi.org/10.1016/s0016-5107(98)70167-1.

    Article  CAS  PubMed  Google Scholar 

  13. Teichman JM, Schwesinger WH, Lackner J, Cossman RM. Holmium: YAG laser lithotripsy for gallstones. A preliminary report. Surg Endosc. Sep 2001;15(9):1034–7. https://doi.org/10.1007/s004640080149.

    Article  CAS  PubMed  Google Scholar 

  14. Shamamian P, Grasso M. Management of complex biliary tract calculi with a holmium laser. J Gastrointest Surg. 2004;8(2):191–9. https://doi.org/10.1016/j.gassur.2003.10.007.

    Article  PubMed  Google Scholar 

  15. Muzio S, Cassini P, Martino V, et al. Transcystic videolaparoscopy for choledocholithiasis with holmium: YAG laser lithotripsy. A case report. Chir Ital. 2008;60(1):119–23.

    PubMed  Google Scholar 

  16. Day A, Sayegh ME, Kastner C, Liston T. The use of holmium laser technology for the treatment of refractory common bile duct stones, with a short review of the relevant literature. Surg Innov. 2009;16(2):169–72. https://doi.org/10.1177/1553350609338373.

    Article  PubMed  Google Scholar 

  17. Kim TH, Oh HJ, Choi CS, Yeom DH, Choi SC. Clinical usefulness of transpapillary removal of common bile duct stones by frequency doubled double pulse Nd:YAG laser. World J Gastroenterol. 2008;14(18):2863–6. https://doi.org/10.3748/wjg.14.2863

  18. Cho YD, Cheon YK, Moon JH, et al. Clinical role of frequency-doubled double-pulsed yttrium aluminum garnet laser technology for removing difficult bile duct stones (with videos). Gastrointest Endosc. 2009;70(4):684–9. https://doi.org/10.1016/j.gie.2009.03.1170.

    Article  PubMed  Google Scholar 

  19. Liu F, Jin ZD, Zou DW, Li ZS. Efficacy and safety of endoscopic biliary lithotripsy using FREDDY laser with a radiopaque mark under fluoroscopic guidance. Endoscopy. 2011;43(10):918–21. https://doi.org/10.1055/s-0030-1256555.

    Article  CAS  PubMed  Google Scholar 

  20. Jiang ZJ, Chen Y, Wang WL, et al. Management hepatolithiasis with operative choledochoscopic FREDDY laser lithotripsy combined with or without hepatectomy. Hepatobiliary Pancreat Dis Int. 2013;12(2):160–4. https://doi.org/10.1016/s1499-3872(13)60026-0.

    Article  PubMed  Google Scholar 

  21. Jinfeng Z, Yin Y, Chi Z, Junye G. Management of impacted common bile duct stones during a laparoscopic procedure: a retrospective cohort study of 377 consecutive patients. Int J Surg. 2016;32:1–5. https://doi.org/10.1016/j.ijsu.2016.06.006.

    Article  PubMed  Google Scholar 

  22. Delvecchio FC, Auge BK, Brizuela RM, Weizer AZ, Zhong P, Preminger GM. In vitro analysis of stone fragmentation ability of the FREDDY laser. J Endourol. 2003;17(3):177–9. https://doi.org/10.1089/089277903321618752.

    Article  PubMed  Google Scholar 

  23. Harrison J, Morris DL, Haynes J, Hitchcock A, Womack C, Wherry DC. Electrohydraulic lithotripsy of gall stones--in vitro and animal studies. Gut. 1987;28(3):267–71. https://doi.org/10.1136/gut.28.3.267.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Arregui ME, Davis CJ, Arkush AM, Nagan RF. Laparoscopic cholecystectomy combined with endoscopic sphincterotomy and stone extraction or laparoscopic choledochoscopy and electrohydraulic lithotripsy for management of cholelithiasis with choledocholithiasis. Surg Endosc. 1992;6(1):10–5. https://doi.org/10.1007/BF00591180

  25. DePaula AL, Hashiba K, Bafutto M. Laparoscopic management of choledocholithiasis. Surg Endosc. 1994;8(12):1399–403. https://doi.org/10.1007/bf00187344.

    Article  CAS  PubMed  Google Scholar 

  26. Sheen-Chen SM, Chou FF. Intraoperative choledochoscopic electrohydraulic lithotripsy for difficulty retrieved impacted common bile duct stones. Arch Surg. 1995;130(4):430–2. https://doi.org/10.1001/archsurg.1995.01430040092020.

    Article  CAS  PubMed  Google Scholar 

  27. Ido K, Isoda N, Taniguchi Y, et al. Laparoscopic transcystic cholangioscopic lithotripsy for common bile duct stones during laparoscopic cholecystectomy. Endoscopy. 1996;28(5):431–5. https://doi.org/10.1055/s-2007-1005506.

    Article  CAS  PubMed  Google Scholar 

  28. Gigot JF, Navez B, Etienne J, et al. A stratified intraoperative surgical strategy is mandatory during laparoscopic common bile duct exploration for common bile duct stones. Lessons and limits from an initial experience of 92 patients. Surg Endosc. Jul 1997;11(7):722–8. https://doi.org/10.1007/s004649900436.

    Article  CAS  PubMed  Google Scholar 

  29. Craigie JE, Adams DB, Byme TK, et al. Endoscopic electrohydraulic lithotripsy in the management of pancreatobiliary lithiasis. Surg Endosc. 1998;12(5):405–8. https://doi.org/10.1007/s004649900691.

    Article  CAS  PubMed  Google Scholar 

  30. Berthou JC, Drouard F, Charbonneau P, Moussalier K. Evaluation of laparoscopic management of common bile duct stones in 220 patients. Surg Endosc. 1998;12(1):16–22. https://doi.org/10.1007/s004649900585.

    Article  CAS  PubMed  Google Scholar 

  31. Thompson MH, Tranter SE. All-comers policy for laparoscopic exploration of the common bile duct. Br J Surg. 2002;89(12):1608–12. https://doi.org/10.1046/j.1365-2168.2002.02298.x.

    Article  CAS  PubMed  Google Scholar 

  32. Lo Menzo E, Schnall R, Von Rueden D. Lithotripsy in the laparoscopic era. Jsls. 2005;9(3):358–61.

    PubMed  Google Scholar 

  33. Varban O, Assimos D, Passman C, Westcott C. Video. Laparoscopic common bile duct exploration and holmium laser lithotripsy: a novel approach to the management of common bile duct stones. Surg Endosc. Jul 2010;24(7):1759–64. https://doi.org/10.1007/s00464-009-0837-0.

    Article  PubMed  Google Scholar 

  34. Farooq Qadri SJ, Khan M, Khan N. Use of pneumatic lithotripsy for managing difficult CBD calculi. Int J Surg. 2011;9(1):59–62. https://doi.org/10.1016/j.ijsu.2010.08.009.

    Article  PubMed  Google Scholar 

  35. Kelly MD. Results of laparoscopic bile duct exploration via choledochotomy. ANZ J Surg. 2010;80(10):694–8. https://doi.org/10.1111/j.1445-2197.2010.05269.x.

    Article  PubMed  Google Scholar 

  36. Joshi MR. Use of ureterorenoscope as choledochoscope. J Nepal Health Res Counc. 2010;8(2):69–74.

    Article  CAS  Google Scholar 

  37. Petersson U, Johansen D, Montgomery A. Laparoscopic transcystic laser lithotripsy for common bile duct stone clearance. Surg Laparosc Endosc Percutan Tech. 2015;25(1):33–6. https://doi.org/10.1097/SLE.0b013e31829cec5d.

    Article  PubMed  Google Scholar 

  38. Zhu JG, Han W, Guo W, Su W, Bai ZG, Zhang ZT. Learning curve and outcome of laparoscopic transcystic common bile duct exploration for choledocholithiasis. Br J Surg. 2015;102(13):1691–7. https://doi.org/10.1002/bjs.9922.

    Article  CAS  PubMed  Google Scholar 

  39. Pu Q, Zhang C, Ren R, et al. Choledochoscopic lithotripsy is a useful adjunct to laparoscopic common bile duct exploration for hepatolithiasis: a cohort study. Am J Surg. 2016;211(6):1058–63. https://doi.org/10.1016/j.amjsurg.2014.01.012.

    Article  PubMed  Google Scholar 

  40. Liu J, Jin L, Zhang Z. Laparoscopic Transcystic treatment biliary calculi by laser lithotripsy. Jsls 2016;20(4). https://doi.org/10.4293/jsls.2016.00068

  41. Xia HT, Liu Y, Jiang H, et al. A novel laparoscopic transcystic approach using an ultrathin choledochoscope and holmium laser lithotripsy in the management of cholecystocholedocholithiasis: an appraisal of their safety and efficacy. Am J Surg. 2018;215(4):631–5. https://doi.org/10.1016/j.amjsurg.2017.05.020.

    Article  PubMed  Google Scholar 

  42. Gökçen K, Atabey M, Gökçen P, Gökçe G. Laparoscopy-assisted micropercutaneous choledocholithotripsy with holmium laser in a cholecystectomized patient: an initial report. Wideochir Inne Tech Maloinwazyjne 2017;4:443–7.

    Google Scholar 

  43. Quaresima S, Balla A, Guerrieri M, Campagnacci R, Lezoche E, Paganini AM. A 23 year experience with laparoscopic common bile duct exploration. HPB (Oxford). 2017;19(1):29–35. https://doi.org/10.1016/j.hpb.2016.10.011.

    Article  Google Scholar 

  44. Ni ZK, Jin HM, Li XW, Li Y, Huang H. Combination of electronic Choledochoscopy and holmium laser lithotripsy for complicated biliary calculus treatment: a new exploration. Surg Laparosc Endosc Percutan Tech. 2018;28(3):e68–73. https://doi.org/10.1097/sle.0000000000000531.

    Article  PubMed  Google Scholar 

  45. Fang L, Wang J, Dai WC, et al. Laparoscopic transcystic common bile duct exploration: surgical indications and procedure strategies. Surg Endosc. 2018;32(12):4742–8. https://doi.org/10.1007/s00464-018-6195-z.

    Article  CAS  PubMed  Google Scholar 

  46. Nitta T, Chino Y, Kataoka J, et al. Combination of electrohydraulic lithotripsy and laparoscopy for gallbladder access in type III Mirizzi syndrome. Asian J Endosc Surg. 2019;12(2):227–31. https://doi.org/10.1111/ases.12602.

    Article  PubMed  Google Scholar 

  47. Zhan Z, Han H, Zhao D, et al. Primary closure after laparoscopic common bile duct exploration is feasible for elderly patients: 5-year experience at a single institution. Asian J Surg. 2020;43(1):110–5. https://doi.org/10.1016/j.asjsur.2019.04.009.

    Article  PubMed  Google Scholar 

  48. Yang C, Wang H. Treatment of incarcerated choledocholithiasis with holmium laser in laparoscopic bile duct exploration. Asian J Surg. 2019;42(10):932–4. https://doi.org/10.1016/j.asjsur.2019.06.007.

    Article  PubMed  Google Scholar 

  49. Yang T, Ma Z, Xu B, et al. Clinical role of frequency-doubled double-pulse neodymium YAG laser lithotripsy for removal of difficult biliary stones in laparoscopic common bile duct exploration. ANZ J Surg. 2019;89(9):E358–62. https://doi.org/10.1111/ans.15364.

  50. Jones T, Al Musawi J, Navaratne L, Martinez-Isla A. Holmium laser lithotripsy improves the rate of successful transcystic laparoscopic common bile duct exploration. Langenbeck’s Arch Surg. 2019;404(8):985–92. https://doi.org/10.1007/s00423-019-01845-3.

    Article  Google Scholar 

  51. Li G, Pang Q, Zhai H, et al. SpyGlass-guided laser lithotripsy versus laparoscopic common bile duct exploration for large common bile duct stones: a non-inferiority trial. Surg Endosc. 2020;https://doi.org/10.1007/s00464-020-07862-4.

  52. Navaratne L, Martínez Cecilia D, Martínez Isla A. The ABCdE score for PREdicting Lithotripsy Assistance during transcystic bile duct exploration by laparoendoscopy (PRE-LABEL). Surg Endosc. 2020;https://doi.org/10.1007/s00464-020-08082-6

  53. Nassar AHM, Ng HJ, Katbeh T, Cannings E. Conventional surgical management of bile duct stones: a service model and outcomes of 1318 laparoscopic explorations. Ann Surg. 2020;Publish Ahead of Print:https://doi.org/10.1097/sla.0000000000004680.

  54. Grubnik VV, Tkachenko AI, Ilyashenko VV, Vorotyntseva KO. Laparoscopic common bile duct exploration versus open surgery: comparative prospective randomized trial. Surg Endosc. 2012;26(8):2165–71. https://doi.org/10.1007/s00464-012-2194-7.

    Article  CAS  PubMed  Google Scholar 

  55. Narula VK, Fung EC, Overby DW, Richardson W, Stefanidis D, Committee SG. Clinical spotlight review for the management of choledocholithiasis. Surg Endosc. 2020;34(4):1482–91. https://doi.org/10.1007/s00464-020-07462-2.

    Article  PubMed  Google Scholar 

  56. Navaratne L, Martinez IA. Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases. Surg Endosc. 2021;35(1):437–48. https://doi.org/10.1007/s00464-020-07522-7.

    Article  PubMed  Google Scholar 

  57. Soltan HM, Kow L, Toouli J. A simple scoring system for predicting bile duct stones in patients with cholelithiasis. J Gastrointest Surg. 2001;5(4):434–7. https://doi.org/10.1016/s1091-255x(01)80073-1.

  58. Barkun AN, Barkun JS, Fried GM, et al. Useful predictors of bile duct stones in patients undergoing laparoscopic cholecystectomy. McGill Gallstone Treatment Group. Ann Surg. 1994;220(1):32–9. https://doi.org/10.1097/00000658-199407000-00006.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Prat F, Meduri B, Ducot B, Chiche R, Salimbeni-Bartolini R, Pelletier G. Prediction of common bile duct stones by noninvasive tests. Ann Surg. 1999;229(3):362–8. https://doi.org/10.1097/00000658-199903000-00009.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Abboud PA, Malet PF, Berlin JA, et al. Predictors of common bile duct stones prior to cholecystectomy: a meta-analysis. Gastrointest Endosc. 1996;44(4):450–5. https://doi.org/10.1016/s0016-5107(96)70098-6.

    Article  CAS  PubMed  Google Scholar 

  61. Tse F, Barkun JS, Barkun AN. The elective evaluation of patients with suspected choledocholithiasis undergoing laparoscopic cholecystectomy. Gastrointest Endosc. 2004;60(3):437–48. https://doi.org/10.1016/s0016-5107(04)01457-9.

    Article  PubMed  Google Scholar 

  62. Navaratne L, Al-Musawi J, Isla AM. Comment on conventional surgical management of bile duct stones: a service model and outcomes of 1318 laparoscopic explorations. Ann Surg. 2021;https://doi.org/10.1097/sla.0000000000004951.

  63. Navaratne L, Al-Musawi J, Mérida AA, Vilaça J, Isla AM. Trans-infundibular choledochoscopy: a method for accessing the common bile duct in complex cases. Langenbeck’s Arch Surg. 2018;403(6):777–83. https://doi.org/10.1007/s00423-018-1698-6.

    Article  Google Scholar 

  64. Xu G, Wen J, Li Z, et al. A comparative study to analyze the efficacy and safety of flexible ureteroscopy combined with holmium laser lithotripsy for residual calculi after percutaneous nephrolithotripsy. Int J Clin Exp Med. 2015;8(3):4501–7.

    PubMed  PubMed Central  Google Scholar 

  65. Nazif OA, Teichman JM, Glickman RD, Welch AJ. Review of laser fibers: a practical guide for urologists. J Endourol. 2004;18(9):818–29. https://doi.org/10.1089/end.2004.18.818.

    Article  PubMed  Google Scholar 

  66. Black KM, Aldoukhi AH, Ghani KR. A users guide to holmium laser lithotripsy settings in the modern era. Front Surg. 2019;6:48. https://doi.org/10.3389/fsurg.2019.00048.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Aldoukhi AH, Hall TL, Ghani KR, Maxwell AD, MacConaghy B, Roberts WW. Caliceal fluid temperature during high-power holmium laser lithotripsy in an in vivo porcine model. J Endourol. 2018;32(8):724–9. https://doi.org/10.1089/end.2018.0395.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Northwick Park and St Mark’s Hospitals, London North West University Healthcare NHS Trust, London, UK

    Lalin Navaratne & Alberto Martinez-Isla

  2. Hospital Universitario de Toledo, Toledo, Spain

    David Martinez Cecilia

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  1. Lalin Navaratne
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  1. London North West University Healthcare NHS Trust, London, UK

    Alberto Martinez-Isla

  2. London North West University Healthcare NHS Trust, London, UK

    Lalin Navaratne

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Navaratne, L., Martinez Cecilia, D., Martinez-Isla, A. (2022). Lithotripsy Assisted Bile Duct Exploration by Laparoendoscopy (LABEL). In: Martinez-Isla, A., Navaratne, L. (eds) Laparoscopic Common Bile Duct Exploration . In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-93203-9_5

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