4.6 Article

A proposed difficulty grading system for laparoscopic bile duct exploration: benefits to clinical practice, training and research

Related references

Note: Only part of the references are listed.
Article Surgery

Utilization of Laparoscopic Choledochoscopy During Bile Duct Exploration and Evaluation of the Wiper Blade Maneuver for Transcystic Intrahepatic Access

Ahmad H. M. Nassar et al.

Summary: The aim of this study was to examine the indications, techniques, and outcomes of choledochoscopy during laparoscopic bile duct exploration and evaluate the results of the wiper blade maneuver (WBM) for transcystic intrahepatic choledochoscopy. The study found wide variations in choledochoscopy availability and use, particularly with the increasing role of transcystic exploration during the laparoscopic era.

ANNALS OF SURGERY (2023)

Article Surgery

Conventional Surgical Management of Bile Duct Stones A Service Model and Outcomes of 1318 Laparoscopic Explorations

Ahmad H. M. Nassar et al.

Summary: The primary aim of this study was to describe the service model of one-session management, with a limited role for preoperative endoscopic clearance. The study found that one-stage LCBDE is a safe and cost-effective treatment method, but it requires expertise and equipment support. Endoscopic treatment has a role in specific cases, but it remains the first-line treatment in most units.

ANNALS OF SURGERY (2022)

Article Gastroenterology & Hepatology

Multi-institutional expert update on the use of laparoscopic bile duct exploration in the management of choledocholithiasis: Lesson learned from 3950 procedures

Victor Lopez-Lopez et al.

Summary: This study investigated the current status of laparoscopic management of common bile duct stones with gallbladder in situ (LBDE). The results showed that LBDE is a safe and effective approach when performed by experienced teams. However, the current training for LBDE was considered poor or very poor, indicating a need for the development of training programs for its wider application.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2022)

Article Surgery

Safety and efficacy of laparoscopic common bile duct exploration for the patients with difficult biliary stones: 8 years of experiences at a single institution and literature review

Zhilong Ma et al.

Summary: LCBDE is a safe and effective treatment option for patients with difficult biliary stones, with high stone clearance rate and low morbidity. Follow-up results demonstrate a stable treatment effect without occurrence of bile duct stricture.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2022)

Article Surgery

Validation of a difficulty scoring system for laparoscopic liver resection in hepatolithiasis

Jinju Kim et al.

Summary: The study validated a modified difficulty scoring system for laparoscopic liver resection for intrahepatic duct stones, which effectively predicted surgical outcomes and complications. Surgical difficulty varied among patients, with significant differences in operation time, hospital stay, blood loss, transfusion rate, and postoperative complications based on difficulty scores. Patients who underwent right liver resection had longer operation time, higher difficulty score, and more blood loss compared to those who had left liver resection.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2021)

Review Surgery

Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases

Lalin Navaratne et al.

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

Outcomes of Laparoscopic Common Bile Duct Exploration by Chopstick Technique in Choledocholithiasis

Tharathorn Suwatthanarak et al.

Summary: The chopstick technique in LCBDE is a cost-effective and efficient alternative for the removal of 1 to 2 large suprapancreatic CBDS. It offers comparable surgical outcomes and may be considered as a first-line technique due to its instrument availability.

JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS (2021)

Article Surgery

Laparoscopic common bile duct exploration in patients with previous abdominal biliary tract operations

Min Li et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2020)

Article Surgery

Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy

Ewen A. Griffiths et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2019)

Article Surgery

Laparoscopic transcystic common bile duct exploration: surgical indications and procedure strategies

L. Fang et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2018)

Article Surgery

Choledochoscopic Holmium Laser Lithotripsy for Difficult Bile Duct Stones

Shangdong Lv et al.

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES (2017)

Article Surgery

Surgeons, ERCP, and laparoscopic common bile duct exploration: do we need a standard approach for common bile duct stones?

Rebeccah B. Baucom et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2016)

Article Surgery

A study of preoperative factors associated with a poor outcome following laparoscopic bile duct exploration

Hamish Noble et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2011)

Article Surgery

SAGES guidelines for the clinical application of laparoscopic biliary tract surgery

D. Wayne Overby et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2010)

Article Gastroenterology & Hepatology

Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data

SM Schutz et al.

GASTROINTESTINAL ENDOSCOPY (2000)