{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T06:07:39Z","timestamp":1780380459191,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T00:00:00Z","timestamp":1645056000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recently there has been a growing interest in the laparoscopic management of common bile duct stones with gallbladder in situ (LBDE), which is favoring the expansion of this technique. Our study identified the standardization factors of LBDE and its implementation in the single\u2010stage management of choledocholithiasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective multi\u2010institutional study among 17 centers with proven experience in LBDE was performed. A cross\u2010sectional survey consisting of a semi\u2010structured pretested questionnaire was distributed covering the main aspects on the use of LBDE in the management of choledocholithiasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3950 LBDEs were analyzed. The most frequent indication was jaundice (58.8%). LBDEs were performed after failed ERCP in 15.2%. The most common approach used was the transcystic (63.11%). The overall series failure rate of LBDE was 4% and the median rate for each center was 6% (IQR, 4.5\u201012.5). Median operative time ranged between 60\u2010120\u00a0min (70.6%). Overall morbidity rate was 14.6%, with a postoperative bile leak and complications \u22653a rate of 4.5% and 2.5%, respectively. The operative time decreased with experience (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.03) and length of hospital stay was longer in the presence of a biliary leak (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.04). Current training of LBDE was defined as poor or very poor by 82.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Based on this multicenter survey, LBDE is a safe and effective approach when performed by experienced teams. The generalization of LBDE will be based on developing training programs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1123","type":"journal-article","created":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T09:33:28Z","timestamp":1644053608000},"page":"1283-1291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Multi\u2010institutional expert update on the use of laparoscopic bile duct exploration in the management of choledocholithiasis: Lesson learned from 3950 procedures"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1718-3352","authenticated-orcid":false,"given":"V\u00edctor","family":"Lopez\u2010Lopez","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery Clinic and University Hospital Virgen de la Arrixaca IMIB\u2010ARRIXACA  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro Jos\u00e9","family":"Gil\u2010Vazquez","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery Clinic and University Hospital Virgen de la Arrixaca IMIB\u2010ARRIXACA  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ferreras","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery Clinic and University Hospital Virgen de la Arrixaca IMIB\u2010ARRIXACA  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7878-7024","authenticated-orcid":false,"given":"Ahmad H. M.","family":"Nassar","sequence":"additional","affiliation":[{"name":"University Hospital Monklands  Airdrie UK"},{"name":"University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virinder K.","family":"Bansal","sequence":"additional","affiliation":[{"name":"Departments of Surgical Disciplines All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baki","family":"Topal","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery University Hospitals KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie\u2010Gao","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Beijing Key Laboratory of Cancer Invasion and Metastasis Research and National Clinical Research Centre of Digestive Diseases Beijing Friendship Hospital Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2007-0415","authenticated-orcid":false,"given":"Shu\u2010Hung","family":"Chuang","sequence":"additional","affiliation":[{"name":"Division of General and Digestive Surgery Department of Surgery Kaohsiung Medical University Hospital Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3307-4340","authenticated-orcid":false,"given":"Rosa","family":"Jorba","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery Hospital Universitari de Tarragona Joan XXIII  Tarragona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2126-4174","authenticated-orcid":false,"given":"Mohamed","family":"Bekheit","sequence":"additional","affiliation":[{"name":"Department of Surgery Aberdeen Royal Infirmary Foresterhill Health Campus  Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9158-8740","authenticated-orcid":false,"given":"David","family":"Martinez\u2010Cecilia","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery Hospital Universitario de Toledo  Toledo Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Parra\u2010Membrives","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgery Unit Valme University Hospital  Sevilla Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Sgourakis","sequence":"additional","affiliation":[{"name":"Departament of General Surgery Royal Blackburn Hospital NHS Trust  Burnley UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Mattila","sequence":"additional","affiliation":[{"name":"Department of Surgery Central Finland Hospital Nova  Jyv\u00e4skyl\u00e4 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