Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2021; 9(8): 1803-1813
Published online Mar 16, 2021. doi: 10.12998/wjcc.v9.i8.1803
Outcomes of laparoscopic bile duct exploration for choledocholithiasis with small common bile duct
Xiao-Xiao Huang, Jia-Yi Wu, Yan-Nan Bai, Jun-Yi Wu, Jia-Hui Lv, Wei-Zhao Chen, Li-Ming Huang, Rong-Fa Huang, Mao-Lin Yan
Xiao-Xiao Huang, Jia-Yi Wu, Yan-Nan Bai, Jun-Yi Wu, Jia-Hui Lv, Wei-Zhao Chen, Li-Ming Huang, Rong-Fa Huang, Mao-Lin Yan, Department of Hepatobiliary and Pancreatic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou 350001, Fujian Province, China
Author contributions: Huang XX and Wu JY designed the study and drafted the manuscript; Bai YN and Wu JY collected and analyzed the data; Lv JH and Chen WZ collected the data; Huang LM and Huang RF revised the manuscript for important intellectual content; Huang XX and Yan ML made substantial contributions to conception, design, and coordination of the study and gave final approval of the version to be published; All authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the institutional review board of the Fujian Provincial Hospital
Informed consent statement: All involved persons provided written or verbal informed consent prior to study inclusion.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at yanmaolin74@163.com.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mao-Lin Yan, PhD, Assistant Professor, Doctor, Department of Hepatobiliary and Pancreatic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, No. 134 Dongjie Road, Gulou District, Fuzhou 350001, Fujian Province, China. yanmaolin74@163.com
Received: December 5, 2020
Peer-review started: December 5, 2020
First decision: December 21, 2020
Revised: January 2, 2021
Accepted: January 26, 2021
Article in press: January 26, 2021
Published online: March 16, 2021
Core Tip

Core Tip: Previous studies on laparoscopic common bile duct (CBD) exploration (LCBDE) in choledocholithiasis with small diameter have been limited. Although some studies have suggested that small CBD stone may be a significant risk factor for postoperative bile leak after LCBDE, the sample size of small CBD choledocholithiasis in these studies was relatively small. The goal of our study was to emphasize the safety and feasibility of LCBDE for choledocholithiasis with small CBD through large-sample analysis. The results showed that LCBDE for choledocholithiasis with small-diameter without acute cholangitis did not increase the postoperative biliary leak rate and the recurrence rate of CBD stones.