Tips and Tricks for the Acute Care Surgeon to Perform Laparoscopic Transcystic Common Bile Duct Exploration
Dennis Kim, John M Ruddy
Keywords :
Acute care surgery, Biliary, Choledocholithiasis, Laparoscopic cholecystectomy, Laparoscopic common bile duct exploration
Citation Information :
Kim D, Ruddy JM. Tips and Tricks for the Acute Care Surgeon to Perform Laparoscopic Transcystic Common Bile Duct Exploration. Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):134-138.
Management of emergency general surgery (EGS) patients who present with common bile duct (CBD) stones continues to evolve. Although a two-step approach involving duct clearance via pre- or postoperative endoscopic retrograde cholangiopancreatography (ERCP) combined with laparoscopic cholecystectomy (LC) has long been the accepted treatment strategy, recent advances in laparo-endoscopic techniques have made single-stage operative management of CBD stones a reality in a select group of EGS patients presenting with choledocholithiasis. In this review article, we outline several key tips and tricks, as well as pitfalls, for acute care surgeons to consider prior to or during the development and implementation of an institutional laparoscopic common bile duct exploration (LCBDE) program.
Wu JX, Nguyen AT, de Virgilio C, et al. Can it wait until morning? A comparison of nighttime versus daytime cholecystectomy for acute cholecystitis. Am J Surg 2014;208(6):911–988. DOI: 10.1016/j.amjsurg.2014.09.004
ASGE Standards of Practice Committee, Buxbaum JL, Abbas Fehmi SM, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc 2019;89(6):1075–1105. DOI: 10.1016/j.gie.2018.10.001
Wandling MW, Hungness ES, Pavey ES, et al. Nationwide assessment of trends in choledocholithiasis management in the United States From 1998 to 2013. JAMA Surg 2016;151(12):1125–1130. DOI: 10.1001/jamasurg.2016.2059
Singh AN, Kilambi R. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with gallbladder stones with common bile duct stones: systematic review and meta-analysis of randomized trials with trial sequential analysis. Surg Endosc 2018;32(9):3763–3776. DOI: 10.1007/s00464-018-6170-8
Dasari BV, Tan CJ, Gurusamy KS, et al. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev 2013;2013(12):CD003327. DOI: 10.1002/14651858.CD003327
Lyu Y, Cheng Y, Li T, et al. Laparoscopic common bile duct exploration plus cholecystectomy versus endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for cholecystocholedocholithiasis: a meta-analysis. Surg Endosc 2019;33(10):3275–3286. DOI: 10.1007/s00464-018-06613-w
Al-Ardah M, Barnett RE, Morris S, et al. Lessons learnt from the first 200 unselected consecutive cases of laparoscopic exploration of common bile duct stones at a district general hospital. Surg Endosc 2021;35(11):6268–6277. DOI: 10.1007/s00464-020-08127-w
Kao CT, Seagar R, Heathcock D, et al. Factors that predict the success of laparoscopic common bile duct exploration for choledocholithiasis: a 10-year study. Surg Laparosc Endosc Percutan Tech 2021;31(5):565–570. DOI: 10.1097/SLE.0000000000000938
Bass GA, Pourlotfi A, Donnelly M, et al. Bile duct clearance and cholecystectomy for choledocholithiasis: definitive single-stage laparoscopic cholecystectomy with intraoperative endoscopic retrograde cholangiopancreatography versus staged procedures. J Trauma Acute Care Surg 2021;90(2):240–248. DOI: 10.1097/TA.0000000000002988
Rosser J (2018): Transcystic Common Bile Duct Exploration. The Stealth Learning Company.
Strömberg C, Nilsson M, Leijonmarck CE. Stone clearance and risk factors for failure in laparoscopic transcystic exploration of the common bile duct. Surg Endosc 2008;22(5):1194–1199. DOI: 10.1007/s00464-007-9448-9
Fang L, Wang J, Dai WC, et al. Laparoscopic transcystic common bile duct exploration: surgical indications and procedure strategies. Surg Endosc 2018;32(12):4742–4748. DOI: 10.1007/s00464-018-6195-z
Santos, BF (2018). “Preparing the. Operating Room and Your Team”, in Rosser, J (ed.): Transcystic Common Bile Duct Exploration. The Stealth Learning Company.
Bloom MB, Phillips EH (2017 – in press). “Intraoperative Cholangiography”, in Santos BF and Soper NJ (ed.): Choledocholithiasis: Comprehensive Surgical Management. New York, NY.
Teitelbaum E, Santos BF (2018). “Step by Step Clinical Execution”, in Rosser, J (ed.): Transcystic Common Bile Duct Exploration. The Stealth Learning Company.
