{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T01:58:52Z","timestamp":1781056732248,"version":"3.54.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Choledocholithiasis is challenging to treat in patients who have undergone Roux-en-Y gastric bypass (RYGB). Laparoscopic transcystic common bile duct exploration (LTCBDE) performed at the time of the cholecystectomy is an alternative treatment modality that has the potential to reduce hospital length of stay (LOS) and postoperative morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is an IRB-approved, single-academic institution retrospective cohort study analyzing electronic medical records of patients with RYGB anatomy who underwent LTCBDE for choledocholithiasis between 2021 and 2025. The primary outcome of interest was procedural response. Secondary outcomes of interest included technical response rates, operative and 30-day postoperative complications. Hospital and postoperative LOS were compared between admitting services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nineteen patients with RYGB anatomy underwent LTCBDE and concomitant cholecystectomy. Technical response was achieved in 100% of patients, and procedural response was achieved in 94.7% of patients. One (5.3%) required an additional procedure after a retained stone was found incidentally on cross-sectional imaging for oncologic surveillance purposes. No intraoperative or postoperative complications were experienced. Patients admitted to a surgical service had a shorter hospital LOS by 3.1 days on average (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001; 95% CI -1.2,-2.6) and median postoperative LOS by 0.3 days (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.035; 95% CI -0.1,-1.6) than those admitted to a medicine service.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our data demonstrate high rates of technical and procedural response with no complications, and a shorter overall hospital LOS when managed by a surgical team, supporting the use of LTCBDE to treat choledocholithiasis in patients with RYGB anatomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08688-0","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T01:36:13Z","timestamp":1778722573000},"page":"2957-2964","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Transcystic Common Bile Duct Exploration for the Treatment of Choledocholithiasis Following Roux-en-Y Gastric Bypass"],"prefix":"10.1007","volume":"36","author":[{"given":"Eric D.","family":"Moyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McKell","family":"Quattrone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Rothka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Sodomin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"Pauli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua S.","family":"Winder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"8688_CR1","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1016\/j.soard.2016.11.022","volume":"13","author":"M Coupaye","year":"2017","unstructured":"Coupaye M, Calabrese D, Sami O, Msika S, Ledoux S. 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Institutional IRB approval was obtained prior to the start of this research study (STUDY00023274). This study is a retrospective cohort study, and formal consent is not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Disclosure"}},{"value":"Elizabeth Sodomin is an educator for Intuitive and a research investigator for Medtronic.Eric M. Pauli is a speaker for Becton Dickinson and Medtronic, and a consultant for Scientific Corp., Actuated Biomedical, Inc., Cook Biotech, Neptune Medical, Surgimatix, Noah Medical, Allergan, Intuitive Surgical, ERBE, Integra, Steris, Vicarious Surgical, and TELA Bio. He receives royalties from UpToDate, Inc., and Springer and has financial interests in IHC, Inc., Cranial Devices Inc., and Actuated Medical.Joshua S. Winder is a consultant for Boston Scientific.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}