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Year : 2022  |  Volume : 28  |  Issue : 2  |  Page : 113-118

Laparoscopic common bile duct exploration: A single-centre experience

Department of Surgery, GEM Hospital and Research Centre, Thrissur, Kerala, India

Correspondence Address:
Dr. Arjun Balram
GEM Hospital and Research Centre, Thrissur - 680 005, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_34_22

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Background: Laparoscopic common bile duct exploration (LCBDE) during laparoscopic cholecystectomy (LC) is as effective as two-stage endolaparoscopic treatment but with a shorter hospital stay, lower cost and lower recurrent stone rate. Aim: The aim of this article was to report the authors' experience with LCBDE with a rigid telescope during LC. Methods: A retrospective analysis of patients who underwent LCBDE for ductal stones in a single surgical unit were studied from 2017 to 2021. Results: A total of 55 LCBDEs were performed during this period. Ninety percentage of patients presented with biliary colic. Of these 18% were following endoscopic retrograde cholangiopancreatography failure. About 50.4% of patients had multiple stones. About 16.8% of patients had undilated CBD. The mean operative time was 178 ± 71.62 (80–300). The conversion rate was 1.8%. All patients underwent CBD exploration through a supraduodenal choledochotomy. In 9% of cases, pneumatic lithotripsy was used because of impacted large stones. The closure was done over T-tube in 58.18% of cases and over antegrade endobiliary stent in 41% of cases. Post-operative complication was minor CD 1 and 2. The overall success rate of LCBDE was 98%. Conclusion: LCBDE should be considered for treatment for patients with gallstones with CBD stones, especially for patients with large and multiple stones.

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