Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study
Abstract Objective This study aims to compare the therapeutic outcomes of transcystic laparoscopic common bile duct exploration (TC-LCBDE) and transductive laparoscopic common bile duct exploration (TD-LCBDE) for the treatment of common bile duct stones accompanied by gallstones. Methods A cohort of...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-025-04063-y |
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| author | Xing-Guang Yang Ming Hu Wei-Feng Sun Tian-Liang Zhang Ji-Wu Yang Hui-Qiong Zhao |
| author_facet | Xing-Guang Yang Ming Hu Wei-Feng Sun Tian-Liang Zhang Ji-Wu Yang Hui-Qiong Zhao |
| author_sort | Xing-Guang Yang |
| collection | DOAJ |
| description | Abstract Objective This study aims to compare the therapeutic outcomes of transcystic laparoscopic common bile duct exploration (TC-LCBDE) and transductive laparoscopic common bile duct exploration (TD-LCBDE) for the treatment of common bile duct stones accompanied by gallstones. Methods A cohort of 102 patients with common bile duct stones accompanied by gallstones, admitted between April 2016 and February 2025, were retrospectively analyzed. Based on the surgical approach, the patients were divided into Group A (TC-Group, n = 51) and Group B (TD-Group, n = 51). Group A underwent TC-LCBDE, while Group B underwent TD-LCBDE. Key parameters were statistically analyzed, including operative duration, intraoperative blood loss, postoperative length of stay, average hospitalization cost, postoperative drainage tube indwelling time, and the incidence of postoperative complications. Results Group A had a shorter postoperative length of stay compared to Group B (P < 0.05). The total hospitalization cost in Group A was also lower than that in Group B (P < 0.05). Additionally, the postoperative drainage tube indwelling time was shorter in Group A, with a statistically significant difference between the two groups (P < 0.05). Conclusion TC-LCBDE is an optimal surgical approach for treating common bile duct stones with concomitant gallstones, offering faster postoperative recovery, lower hospitalization costs, shorter hospital stays, and reduced drainage tube indwelling time. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-19c93616849444c18f33a23d856db9f1 |
| institution | Kabale University |
| issn | 1471-230X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj-art-19c93616849444c18f33a23d856db9f12025-08-24T11:32:51ZengBMCBMC Gastroenterology1471-230X2025-07-012511910.1186/s12876-025-04063-yComparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective studyXing-Guang Yang0Ming Hu1Wei-Feng Sun2Tian-Liang Zhang3Ji-Wu Yang4Hui-Qiong Zhao5Department of General Surgery II, The First Affiliated Hospital of Dali UniversityDepartment of General Surgery II, The First Affiliated Hospital of Dali UniversityDepartment of General Surgery II, The First Affiliated Hospital of Dali UniversityDepartment of General Surgery II, The First Affiliated Hospital of Dali UniversityDepartment of General Surgery II, The First Affiliated Hospital of Dali UniversityDepartment of Pain, The First People’s Hospital of DaliAbstract Objective This study aims to compare the therapeutic outcomes of transcystic laparoscopic common bile duct exploration (TC-LCBDE) and transductive laparoscopic common bile duct exploration (TD-LCBDE) for the treatment of common bile duct stones accompanied by gallstones. Methods A cohort of 102 patients with common bile duct stones accompanied by gallstones, admitted between April 2016 and February 2025, were retrospectively analyzed. Based on the surgical approach, the patients were divided into Group A (TC-Group, n = 51) and Group B (TD-Group, n = 51). Group A underwent TC-LCBDE, while Group B underwent TD-LCBDE. Key parameters were statistically analyzed, including operative duration, intraoperative blood loss, postoperative length of stay, average hospitalization cost, postoperative drainage tube indwelling time, and the incidence of postoperative complications. Results Group A had a shorter postoperative length of stay compared to Group B (P < 0.05). The total hospitalization cost in Group A was also lower than that in Group B (P < 0.05). Additionally, the postoperative drainage tube indwelling time was shorter in Group A, with a statistically significant difference between the two groups (P < 0.05). Conclusion TC-LCBDE is an optimal surgical approach for treating common bile duct stones with concomitant gallstones, offering faster postoperative recovery, lower hospitalization costs, shorter hospital stays, and reduced drainage tube indwelling time. Clinical trial number Not applicable.https://doi.org/10.1186/s12876-025-04063-yCholedochoscopicCommon bile duct stonesLaparoscopicTranscysticTransductal |
| spellingShingle | Xing-Guang Yang Ming Hu Wei-Feng Sun Tian-Liang Zhang Ji-Wu Yang Hui-Qiong Zhao Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study BMC Gastroenterology Choledochoscopic Common bile duct stones Laparoscopic Transcystic Transductal |
| title | Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study |
| title_full | Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study |
| title_fullStr | Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study |
| title_full_unstemmed | Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study |
| title_short | Comparative clinical outcomes of transcystic vs. transductal laparoscopic common bile duct exploration: a retrospective study |
| title_sort | comparative clinical outcomes of transcystic vs transductal laparoscopic common bile duct exploration a retrospective study |
| topic | Choledochoscopic Common bile duct stones Laparoscopic Transcystic Transductal |
| url | https://doi.org/10.1186/s12876-025-04063-y |
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