{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:07:41Z","timestamp":1779196061738,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2016,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the safety and benefits of laparoscopic common bile duct exploration (LCBDE) compared with open approach (OCBDE) in cirrhotic patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Between January 2009 and December 2012, a total of 113 cirrhotic patients with choledocholithiasis underwent common bile duct (CBD) explorations in our department. There were two groups of patients: A:LCBDE (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200961) and B:OCBDE (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200952). Patients' demographic characteristics, surgical data, postoperative outcomes, and long-term results were retrospectively collected and analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were no significant differences between the two groups in the demographic characteristics or preoperative status. The transcystic approach was successfully performed in 52 (46.0%) patients (group A:34, group B:20), whereas choledochotomy was successful in 59 (54.0%) patients (group A:27, group B:32). The differences between group A and group B in terms of surgical time (124.9\u2009\u00b1\u200934.2 minutes versus 132.6\u2009\u00b1\u200948.6 minutes,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.323), stone clearance rate (93.4% versus 94.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05), short-term complication rate (9.8% versus 13.4%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.547), and recurrent stone rate (6.6% versus 5.8%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05) were not statistically significant. However, group A suffered less blood loss [95 (60\u2013200) mL versus 200 (90\u2013450) mL,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001] and shorter length of hospital stay (4.7\u2009\u00b1\u20092.5 days versus 11.3\u2009\u00b1\u20093.1 days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) than group B. In the LCBDE group, 4 (6.6%) patients were converted due to heavy inflammation and severe adhesions. No mortality, biliary injury, or stricture occurred during follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>LCBDE can be safely performed in patients with Child-Pugh A or B cirrhosis and choledocholithiasis, with considerable efficiency, minimal short-term complications, and acceptable long-term outcomes. LCBDE has the advantages over open CBD exploration of less bleeding and reduced length of hospital stay.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2016.0308","type":"journal-article","created":{"date-parts":[[2016,8,10]],"date-time":"2016-08-10T15:32:42Z","timestamp":1470843162000},"page":"972-977","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Laparoscopic Common Bile Duct Exploration Versus Open Approach in Cirrhotic Patients with Choledocholithiasis: A Retrospective Study"],"prefix":"10.1177","volume":"26","author":[{"given":"Liang","family":"Gui","sequence":"first","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye","family":"Liu","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Qin","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Zheng","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Jun","family":"Huang","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"He","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Sheng","family":"Deng","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin-Bin","family":"Qian","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Luo","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129689-200012000-00004"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2004.09.041"},{"key":"e_1_3_3_4_2","first-page":"CD003327","article-title":"Surgical versus endoscopic treatment of bile duct stones","volume":"12","author":"Dasari BV","year":"2013","unstructured":"Dasari BV, , Tan CJ, , Gurusamy KS, et al. 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