Research Articles Issue 2 · 2019 · pp. 244–254 · Issue page

MINIMALLY INVASIVE TREATMENT OF COMMON BILE DUCT LITHIASIS. A LITERATURE REVIEW

CA
LA
DR
VL
LA
DA
DA
1 Consultant surgeon, MD, 1st Surgery Department University Emergency Hospital Bucharest, Romania
2 Consultant surgeon, MD, 1st Surgery Department University Emergency Hospital Bucharest, Romania
3 onsultant surgeon MD, PhD, Senior assistant lecturer - “Carol Davila” University of Medicine and Pharmacy Bucharest, Surgery Department “Sf. Pantelimon” Emergency Hospital Bucharest, Romania
4 Resident surgeon, MD, Surgery Department “Sf. Pantelimon” Emergency Hospital Bucharest, Romania,
5 Resident surgeon, MD, 1st Surgery Department University Emergency Hospital Bucharest, Romania
6 Consultant surgeon, MD, PhD, Professor - “Carol Davila” University of Medicine and Pharmacy Bucharest, 1st Surgery Department University Emergency Hospital Bucharest, Romania
7 Consultant surgeon MD, PhD, Assistant lecturer – “Carol Davila” University of Medicine and Pharmacy Bucharest, 1st Surgery Department University Emergency Hospital Bucharest, Romania
Corresponding author: [email protected]
Accepted 29 March 2026
Available Online 15 March 2019
COMMON BILE DUCT LITHIASIS IS A FREQUENT FINDING IN PATIENTS UNDERGOING CHOLECYSTECTOMY FOR SYMPTOMATIC GALLBLADDER STONES. CURRENTLY IT IS ADDRESSED EITHER BY EITHER SINGLE-STAGE LAPAROSCOPIC EXPLORATION OF THE COMMON BILE DUCT AND CHOLECYSTECTOMY, EITHER BY THE TWO -STAGE ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND STONE EXTRACTION FOLLOWED BY CHOLECYSTECTOMY. THE RESULTS ARE SIMILAR FOR BOTH METHODS WHEN CONSIDERING COMMON BILE DUCT CLEARANCE RATE, OPERATIVE TIME, LENGTH OF HOSPITAL STAY, COMPLICATION RATE AND RECURRENCE RATE. LOCAL AVAILABILITY AND EXPERIENCE OF THE OPERATING TEAM SHOULD BE CONSIDERED WHEN CHOOSING BETWEEN THE TWO METHODS.
COMMON BILE DUCT (CBD) LITHIASIS ENDOSCOPIC RETROGRADE
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[1]
Abdelaal A, El-Matbouly M, Sulieman I, Elfaki A, El-Bakary T, Abdelaziem S, Gehani S, Toro A, Di Carlo I , Role of intraoperative cholangiography for detecting residual stones after biliary pancreatitis: still useful? A retrospective study. World Journal of Emergency Surgery. 2017;12:18.
[2]
Almamar A , Alkhamesi NA, Davies WT, Schlachta CM , Cost analysis of robot -assisted choledochotomy and common bile duct exploration as an option for complex choledocholithiasis . Surgical Endoscopy. 2018;32(3):1223-1227
[3]
Al-Temimi MH, Kim EG, Chandrasekaran B, Franz V, Trujillo CN, Mousa A, Tessier DJ, Johna SD, Santos DA. , Laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography for choledocholithiasis found at time of laparoscopic cholecys tectomy: Analysis of a large integrated health care system database . American Journal of Surgery. 2017;214(6):1075-1079
[4]
Bansal VK, Misra MC, Rajan K, Kilambi R, Kumar S, Krishna A, Kumar A, Pandav CS, Subramaniam R, Arora MK, Garg PK., Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial. Surgical Endoscopy. 2014;28(3):875-85
[5]
Barreras González JE, Torres Peña R, Ruiz Torres J, Martínez Alfonso MÁ, Brizuela Quintanilla R, Morera Pérez M., Endoscopic versus laparoscopic treatment for choledocholithiasis: a prospective randomized controlled trial. Endoscopy International Open. 2016; 4(11): E1188–E1193.
[6]
Chan DS, Jain PA, Khalifa A, Hughes R, Baker AL. , Laparoscopic common bile duct exploration . British Journal of Surgery. 2014;101(11):1448-52
[7]
Chen XM, Zhang Y, Cai HH, Sun DL, Liu SY, Duan YF, Yang C, Jiang Y, Wu HR , Transcystic approach with micro-incision of the cystic duct and its confluence part in laparoscopic common bile duct exploration. Journal of Laparoendoscopic and Advanced Surgical Techniques. 2013;23(12):977-81.
[8]
Costi R, Gnocchi A, Di Mario F, Sarli L , Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy . World Journal of Gastroenterology. 2014; 20(37): 13382–13401.
[9]
Ding G, Cai W, Qin M ., Single-stage vs. two -stage management for concomitant gallstones and common bile duct stones: a prospective randomized trial with long -term follow -up. Journal of Gastrointestinal Surgery. 2014;18(5):947-51.
[10]
ElGeidie AA, Single-session minimally invasive management of common bile duct stones. World Journal of Gastroenterology. 2014; 20(41): 15144–15152.
[11]
Gantois D, Goudard Y, Bourgouin S, Pauleau G, de La Villéon B, Balandraud P., One-stage laparoscopic procedure versus two -stage procedure in the management of common bile duct stones in patients aged 75 and more. Journal of Visceral Surgery. 2019; pii: S1878-7886(19)30132-8
[12]
Gao YC, Chen J, Qin Q, Chen H, Wang W, Zhao J, Miao F, Shi X ., Efficacy and safety of laparoscopic bile duct exploration versus endoscopic sphincterotomy for concomitant gallstones and common bile duct stones. A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2017; 96(37): e7925.
[13]
Gupta N, Role of laparoscopic common bile duct exploration in the management of choledocholithiasis. World Journal of Gastrointestinal Surg. 2016; 8(5): 376–381.
[14]
Koc B, Karahan S, Adas G, Tutal F, Guven H, Ozsoy A. , Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study. American Journal of Surgery. 2013;206(4):457-63
[15]
Lei J, Wang J, Li Q, Wu P, Yuan R, Zhu H, Zou S, Shao J, Fang L , Laparoscopic Transcystic Common Bile Duct Exploration: T -Shaped Incision of Cystic Duct with FREDDY Laser Lithotripsy . Journal of Laparoendoscopic and Advanced Surgical Techniques. 2016;26(8):646-51.
[16]
Mohamed MA, Bahram MA, Ammar MS, Nassar AH , One-Session Laparoscopic Management of Combined Common Bile Duct and Gallbladder Stones Versus Sequential ERCP Followed by Laparoscopic Cholecystectomy . Journal of Laparoendoscopic and Advanced Surgical Techniques; 2015;25(6):482-5.
[17]
Pan L, Chen M, Ji L, Zheng L, Yan P, Fang J, Zhang B, Cai X, The Safety and Efficacy of Laparoscopic Common Bile Duct Exploration Combined with Cholecyste ctomy for the Management of Cholecysto-choledocholithiasis: An Up-to-date Meta-analysis. Annals of Surgery. 2018;268(2):247-253.
[18]
Pu Q, Zhang C, Ren R, Huang Z, Jin K, Cao G, Zhu M, Zeng Y, Zhao W , Choledochoscopic lithotripsy is a useful adjunct to laparoscopic common bile duct exploration for hepatolithiasis: a cohort study,.American Journal of Surgery. 2016;211(6):1058-63
[19]
Sgourakis G, Lanitis S, Karaliotas Ch, Gockel I, Kaths M, Karaliotas C ., Laparoscopic versus endoscopic primary management of choledoch olithiasis. A retrospective case -control study . Der Chirurg; 2012;83(10):897-903
[20]
de Sousa S, Tobler O, Iranmanesh P, Frossard JL, Morel P, Toso C. Management of suspected common bile duct stones on cholangiogram during same -stay cholecystectomy for acute g allstone- related disease. BMC Surgery. 2017; 17: 39.
[21]
Tan C, Ocampo O, Ong R, Tan KS, Comparison of one stage laparoscopic cholecystectomy combined with intra -operative endoscopic sphincterotomy versus two -stage pre -operative endoscopic sphincterotomy fol lowed by laparoscopic cholecystectomy for the management of pre -operatively diagnosed patients with common bile duct stones: a meta-analysis. Surgical Endoscopy. 2018;32(2):770-
[22]
Tantau M, Mercea V, Crisan D, Tantau A, Mester G, Vesa S, Sparchez Z ., ERCP on a cohort of 2,986 patients with cholelitiasis: a 10-year experience of a single center. Journal of Gastrointestinal and Liver Diseases; 2013;22(2):141-7.
[23]
Wang X, Dai C, Jiang Z, Zhao L, Wang M, Ma L, Tan X, Liu L, Wang X, Fan Z .,Endoscopic retrograde cholangiopancreatography versus laparoscopic exploration for common bile duct stones in post-cholecystectomy patients: a retrospective study. Oncotarget. 2017; 8(47): 82114–82122.
[24]
Zhou Y, Wu XD, Zha WZ, Fan RG, Zhang B, Xu YH, Qin CL, Jia J ., Three modalities on common bile duct exploration. Zeitschrift für Gastroenterologie. 2017;55(9):856-860.
[25]
Zhu JG, Han W, Guo W, Su W, Bai ZG, Zhang ZT , Learning curve and outcome of laparoscopic transcystic common bile duct exploration for choledocholit hiasis. British Journal of Surgery. 2015;102(13):1691-7.