{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:44:44Z","timestamp":1773269084048,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,1,9]],"date-time":"2010-01-09T00:00:00Z","timestamp":1262995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic common bile duct (CBD) exploration is regarded as a safe, definitive procedure for ductal calculi, avoiding the complications of endoscopic retrograde cholangiopancreatography. We aimed to evaluate the outcomes of laparoscopic CBD exploration carried out by trainees compared to those of an experienced consultant (R.W.M.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective database of all cases of laparoscopic CBD exploration over a 15\u2010year period was analyzed retrospectively. All patients underwent a four\u2010port technique and intraoperative cholangiography. Patient demographics, operative technique, success, and complications were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age of patients undergoing laparoscopic CBD exploration was 65 years (range 14\u201394 years). In all, 187 (79%) of the CBD explorations were performed by one consultant and 48 (21%) by trainees. Calculi were successfully cleared in 141 (88%) and 43 (96%), respectively. There were two (&lt;1%) conversions to an open procedure in the total group. The median operating time was 130\u00a0minutes in the consultant group versus 150\u00a0minutes in the trainee group (<jats:italic>p<\/jats:italic> &lt; 0.05, Mann\u2010Whitney U\u2010test). There was no significant difference in CBD clearance rate, surgical approach, or complication rate between consultant and trainees (Fisher\u2019s exact test).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic CBD exploration is a safe procedure in both consultant and trainee hands. With appropriate training, surgical trainees can achieve equivalent outcomes in CBD clearance with no significant difference in complication rates.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0335-5","type":"journal-article","created":{"date-parts":[[2010,1,8]],"date-time":"2010-01-08T17:29:12Z","timestamp":1262971752000},"page":"569-573","source":"Crossref","is-referenced-by-count":11,"title":["Training Higher Surgical Trainees in Laparoscopic Common Bile Duct Exploration"],"prefix":"10.1002","volume":"34","author":[{"given":"Matthew G.","family":"Tutton","sequence":"first","affiliation":[{"name":"ICENI Centre Colchester Hospital University NHS Foundation Trust Turner Road CO4 5JL Colchester, Essex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhil","family":"Pawa","sequence":"additional","affiliation":[{"name":"ICENI Centre Colchester Hospital University NHS Foundation Trust Turner Road CO4 5JL Colchester, Essex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tan H. A.","family":"Arulampalam","sequence":"additional","affiliation":[{"name":"ICENI Centre Colchester Hospital University NHS Foundation Trust Turner Road CO4 5JL Colchester, Essex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger W.","family":"Motson","sequence":"additional","affiliation":[{"name":"ICENI Centre Colchester Hospital University NHS Foundation Trust Turner Road CO4 5JL Colchester, Essex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,1,9]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016\u20105107(02)70005\u20109"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900083"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106060(97)90092\u20101"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091\u2010255X(01)80073\u20101"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000103069.00170.9c"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.12.047"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(97)09175\u20107"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649901145"},{"key":"e_1_2_5_10_2","first-page":"467","article-title":"Laparoscopic common bile duct exploration and cholecystectomy versus endoscopic stone extraction and laparoscopic cholecystectomy for choledocholithiasis: a prospective randomised study","volume":"57","author":"Sgourakis G","year":"2002","journal-title":"Minerva Chir"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000171035.57236.d7"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010004\u20108248\u20108"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5568"},{"key":"e_1_2_5_14_2","first-page":"CD003327","article-title":"Surgical versus endoscopic treatment of bile duct stones","volume":"19","author":"Martin DJ","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2007.01279.x"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199609263351301"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2006.00380.x"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102002\u201023630"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091\u2010255X(03)00026\u2010X"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(01)00699\u20107"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640090006"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-009-0335-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-009-0335-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-009-0335-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:48:03Z","timestamp":1703605683000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-009-0335-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1,9]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,3]]}},"alternative-id":["10.1007\/s00268-009-0335-5"],"URL":"https:\/\/doi.org\/10.1007\/s00268-009-0335-5","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,1,9]]}}}