{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:55:29Z","timestamp":1782867329658,"version":"3.54.5"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007436","name":"Familjen Erling-Perssons Stiftelse","doi-asserted-by":"publisher","award":["2022 0163"],"award-info":[{"award-number":["2022 0163"]}],"id":[{"id":"10.13039\/100007436","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009336","name":"Bengt Ihres Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009336","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004047","name":"Karolinska Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Common bile duct stones (CBDS) are a common finding during laparoscopic cholecystectomy, yet the optimal treatment strategy remains under debate. In Sweden, CBDS are usually managed by intraoperative endoscopic retrograde cholangiopancreatography using the rendezvous technique (RV\u2013ERCP). An alternative treatment approach is laparoscopic transcystic placement of an endobiliary stent with postoperative ERCP (TCStent\u2013ERCP). The aim of this study was to compare these two treatment strategies in terms of complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data were extracted from the Swedish Registry for Gallstone surgery and ERCP (GallRiks) from three different hospitals between 2010 and 2023. All cholecystectomies in which CBDS were detected intraoperatively and ERCP was carried out, either during the same session or later, were collected. Procedures involving TCStent\u2013ERCP or RV\u2013ERCP were identified. Complications within 30\u00a0days related to the cholecystectomy as well as to the ERCP were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 929 patients were included. The overall complication rates were 21\/183 (11%) in the TCStent\u2013ERCP group and 140\/746 (19%) in the RV\u2013ERCP group. In adjusted multivariable regression analysis, fewer overall complications were found using the TCStent\u2013ERCP strategy compared with RV\u2013ERCP (OR 0.60, 95% CI 0.35\u20130.97). However, no statistically significant differences were observed between the groups for surgical complications or post-procedural pancreatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transcystic stenting with postoperative ERCP appears to be a safe alternative to intraoperative rendezvous ERCP for the management of CBDS encountered during intraoperative cholangiography. This might be beneficial in surgical units where resources required for unplanned ERCP are limited or lacking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-026-12565-3","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T21:01:32Z","timestamp":1769029292000},"page":"3040-3047","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic transcystic stenting with postoperative ERCP for the treatment of common bile duct stones: a safe alternative to intraoperative rendezvous ERCP\u2014Data from the Swedish registry for gallstone surgery and ERCP (GallRiks)"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8066-1487","authenticated-orcid":false,"given":"Sara","family":"Johansson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Runfors","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Sandblom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Lindkvist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Thorell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Reuterwall Hansson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"12565_CR1","doi-asserted-by":"publisher","first-page":"818","DOI":"10.1001\/jamasurg.2023.8111","volume":"159","author":"J McDermott","year":"2024","unstructured":"McDermott J, Kao LS, Keeley JA, Nahmias J, de Virgilio C (2024) Management of gallstone pancreatitis: a review. 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Nationellt v\u00e5rdprogram f\u00f6r gallstenssjukdom. 2023"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-12565-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-026-12565-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-12565-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:10:17Z","timestamp":1782864617000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-026-12565-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,21]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["12565"],"URL":"https:\/\/doi.org\/10.1007\/s00464-026-12565-3","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,21]]},"assertion":[{"value":"24 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was funded with\u00a0unrestricted research grants. Sara Johansson reports no conflict of interest. The research was supported by ALF grants\u00a0from Region\u00a0Stockholm. Camilla Runfors reports no conflict of interest. The research was supported by ALF grants\u00a0from Region\u00a0Stockholm. Gabriel Sandblom reports no conflict of interest and serves as board member of GallRiks. The research was supported by the Ruth and Richard Julin Foundation. Bj\u00f6rn Lindkvist reports no conflict of interest. Compensation from All About Meetings and Mediahuset has been received for the planning of gastroenterology meetings. No research funding was reported. Anders Thorell reports no conflict of interest. The research was supported by ALF grants\u00a0from Region\u00a0Stockholm and grants from\u00a0the Erling-Persson Foundation (Grant # 2022 0163). Marcus Reuterwall Hansson reports no conflict of interest. The research was supported by ALF grants\u00a0from Region\u00a0Stockholm and the Bengt Ihre Foundation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}