{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T16:04:35Z","timestamp":1779552275912,"version":"3.53.1"},"reference-count":19,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cirug\u00eda Espa\u00f1ola (English Edition)"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.cireng.2026.800312","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T04:03:09Z","timestamp":1772856189000},"page":"800312","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transcystic approach in the management of choledocholithiasis: Intraoperative complications and technical considerations"],"prefix":"10.1016","volume":"104","author":[{"given":"Ana Bel\u00e9n","family":"Mart\u00edn Arnau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Enrique","family":"Garc\u00eda San Jos\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00edctor","family":"Molina Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"S\u00e1nchez-Cab\u00fas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cireng.2026.800312_bib0005","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1055\/a-0862-0346","article-title":"Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline","volume":"51","author":"Manes","year":"2019","journal-title":"Endoscopy"},{"key":"10.1016\/j.cireng.2026.800312_bib0010","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.clinre.2015.02.002","article-title":"A meta-analysis of single-stage versus two-stage management for concomitant gallstones and common bile duct stones","volume":"39","author":"Zhu","year":"2015","journal-title":"Clin Res Hepatol Gastroenterol"},{"key":"10.1016\/j.cireng.2026.800312_bib0015","doi-asserted-by":"crossref","first-page":"3763","DOI":"10.1007\/s00464-018-6170-8","volume":"32","author":"Singh","year":"2018","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cireng.2026.800312_bib0020","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1002\/bjs5.50132","article-title":"Meta-analysis of laparoscopic transcystic versus transcholedochal common bile duct exploration for choledocholithiasis","volume":"3","author":"Bekheit","year":"2019","journal-title":"BJS Open"},{"key":"10.1016\/j.cireng.2026.800312_bib0025","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s00464-020-07522-7","article-title":"Transductal versus transcystic laparoscopic common bile duct exploration: an institutional review of over four hundred cases","volume":"35","author":"Navaratne","year":"2021","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cireng.2026.800312_bib0030","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.surge.2018.12.001","article-title":"Single-stage approach for the management of choledocholithiasis with concomitant cholelithiasis: implementation of a protocol in a secondary hospital","volume":"17","author":"Memba","year":"2019","journal-title":"Surgeon"},{"key":"10.1016\/j.cireng.2026.800312_bib0035","series-title":"Laparoscopic Common Bile Duct Exploration","first-page":"208","article-title":"Our experience of laparoscopic bile duct exploration from nearly 500 cases: leveraging access to technology and enhanced surgical technique (LATEST) and the biliary surgery 2.0 concept","author":"Mart\u00ednez-Isla","year":"2022"},{"key":"10.1016\/j.cireng.2026.800312_bib0040","doi-asserted-by":"crossref","first-page":"4742","DOI":"10.1007\/s00464-018-6195-z","article-title":"Laparoscopic transcystic common bile duct exploration: surgical indications and procedure strategies","volume":"32","author":"Fang","year":"2018","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cireng.2026.800312_bib0045","series-title":"Laparoscopic Common Bile Duct Exploration. In Clinical Practice","first-page":"79","article-title":"Equipment and operative setting for laparoscopic bile duct exploration (LBDE)","author":"Martinez-Isla","year":"2022"},{"key":"10.1016\/j.cireng.2026.800312_bib0050","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1002\/bjs.9922","article-title":"Learning curve and outcome of laparoscopic transcystic common bile duct exploration for choledocholithiasis","volume":"102","author":"Zhu","year":"2015","journal-title":"Br J Surg"},{"key":"10.1016\/j.cireng.2026.800312_bib0055","doi-asserted-by":"crossref","first-page":"e376","DOI":"10.1097\/SLA.0000000000004912","article-title":"Utilization of laparoscopic choledochoscopy during bile duct exploration and evaluation of wiper blade maneuver for transcystic intrahepatic access","volume":"277","author":"Nassar","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.cireng.2026.800312_bib0060","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2018.1167","article-title":"Comparison of efficacy and safety of 4 combinations of laparoscopic and intraoperative techniques for management of gallstone disease with biliary duct calculi: a systematic review and network meta-analysis","volume":"153","author":"Ricci","year":"2018","journal-title":"JAMA Surg"},{"key":"10.1016\/j.cireng.2026.800312_bib0065","doi-asserted-by":"crossref","first-page":"2403","DOI":"10.1007\/s00268-014-2537-8","article-title":"Transcystic or transductal stone extraction during single-stage treatment of choledochocystolithiasis: a systematic review","volume":"38","author":"Reinders","year":"2014","journal-title":"World J Surg"},{"key":"10.1016\/j.cireng.2026.800312_bib0070","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1007\/s00268-019-05005-y","article-title":"Laparoscopic transcystic versus transductal common bile duct exploration: a systematic review and meta-analysis","volume":"43","author":"Hajibandeh","year":"2019","journal-title":"World J Surg"},{"key":"10.1016\/j.cireng.2026.800312_bib0075","doi-asserted-by":"crossref","first-page":"4363","DOI":"10.1007\/s00464-018-6286-x","article-title":"Transcystic versus traditional laparoscopic common bile duct exploration: its advantages and meta-analysis","volume":"32","author":"Pang","year":"2018","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cireng.2026.800312_bib0080","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0162885","article-title":"Laparoscopic transcystic common bile duct exploration: advantages over laparoscopic choledochotomy","volume":"11","author":"Feng","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.cireng.2026.800312_bib0085","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1007\/s00464-016-5206-1","article-title":"LABEL procedure: laser-assisted bile duct exploration by laparoendoscopy for choledocholithiasis: improving surgical outcomes and reducing technical failure","volume":"31","author":"Navarro-S\u00e1nchez","year":"2017","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cireng.2026.800312_bib0090","doi-asserted-by":"crossref","first-page":"2367","DOI":"10.1007\/s00464-022-09667-z","article-title":"Leveraging access to technology and enhanced surgical technique (LATEST) in laparoscopic bile duct exploration (LBDE)","volume":"37","author":"Navaratne","year":"2023","journal-title":"Surg Endosc"},{"key":"10.1016\/j.cireng.2026.800312_bib0095","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1186\/s13256-020-02608-1","article-title":"Emergency open surgery with a duodenotomy and successful removal of an impacted basket following a complicated endoscopic retrograde cholangiopancreatography procedure: a case report","volume":"15","author":"Shakra","year":"2021","journal-title":"J Med Case Rep"}],"container-title":["Cirug\u00eda Espa\u00f1ola (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173507726000918?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2173507726000918?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T15:09:04Z","timestamp":1779548944000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2173507726000918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S2173507726000918"],"URL":"https:\/\/doi.org\/10.1016\/j.cireng.2026.800312","relation":{},"ISSN":["2173-5077"],"issn-type":[{"value":"2173-5077","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Transcystic approach in the management of choledocholithiasis: Intraoperative complications and technical considerations","name":"articletitle","label":"Article Title"},{"value":"Cirug\u00eda Espa\u00f1ola (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cireng.2026.800312","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 AEC. Published by Elsevier Espa\u00f1a, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"800312"}}