Year 2020 / Volume 112 / Number 6
Letter
Laparoscopic transcystic common bile duct exploration (LTCBDE): a safer method to treat common bile duct stones than laparoscopic choledochotomy

507-508

DOI: 10.17235/reed.2020.6679/2019

Liwei Pang, Shuodong Wu, Jing Kong,

Abstract
We read the article published in the Spanish Journal of Gastroenterology and its accompanying editorial about the laparoscopic treatment of both cholecystolithiasis and choledocholithiasis in a single stage procedure. We would like to make some comments. Common bile duct (CBD) stones can lead to serious complications such as cholangitis and pancreatitis. So far, there is no standard surgical treatment for choledocholithiasis. Although, there are some ways to deal with CBD stones. Each method has its own advantages and disadvantages. In the era of advancements in minimally invasive technology, the treatment of CBD stones still remains controversial with regard to endoscopic retrograde cholangiopancreatography (ERCP) or laparoscopic common bile duct exploration (LCBDE). Preoperative ERCP followed by laparoscopic cholecystectomy (LC) is frequently performed.
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References
1.Zhou Y, Zha WZ, Fan RG, Jiang GQ, Wu XD. Two-stage versus single-stage procedure for the management of cholecystocholedocholithiasis in elderly patients: a retrospectively cohort study. Rev Esp Enferm Dig 2019;111:176-181. doi: 10.17235/reed.2018.5822/2018.
2.García-Cano J, Domper F. The best approach to treat concomitant gallstones and common bile duct stones. Is ERCP still needed? Rev Esp Enferm Dig 2019;111:173-175. doi: 10.17235/reed.2019.6226/2019.
3.Pang L, Zhang Y, Wang Y, Kong J (2018) Transcystic versus traditional laparoscopic common bile duct exploration: its advantages and a meta-analysis. Surg Endosc 32(11):4363–4376
4.Martin IJ, Bailey IS, Rhodes M, O’Rourke N, Nathanson L,Fielding G (1998) Towards T-tube free laparoscopic bile ductexploration: a methodologic evolution during 300 consecutive procedures. Ann Surg 228:29–34
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6.Feng Q, Huang Y, Wang K, Yuan R, Xiong X, Wu L. Laparoscopic Transcystic Common Bile Duct Exploration: Advantages over Laparoscopic Choledochotomy. PLoS One 2016;11:e0162885. doi: 10.1371/journal.pone.0162885.
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Pang L, Wu S, Kong J. Laparoscopic transcystic common bile duct exploration (LTCBDE): a safer method to treat common bile duct stones than laparoscopic choledochotomy. 6679/2019


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Publication history

Received: 12/10/2019

Accepted: 28/10/2019

Online First: 04/06/2020

Published: 08/06/2020

Article revision time: 12 days

Article Online First time: 236 days

Article editing time: 240 days


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