{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T02:09:25Z","timestamp":1785550165366,"version":"3.56.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"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":[[2023,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Common bile duct (CBD) stones associated with cholecystitis can be treated by single-stage CBD exploration at the time of cholecystectomy or a two-stage approach with endoscopic stone extraction before or after cholecystectomy. The ideal management remains a matter of debate. The aim of this study is to analyze our outcomes with transcystic laparoscopic common bile duct exploration (LCBDE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>A retrospective review of patients who underwent transcystic LCBDE between 2015 and 2019 was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 106 patients underwent transcystic LCBDE over 5 years. We performed 1192 laparoscopic cholecystectomies with cholangiograms from March 2015 to December 2019. Fifteen patients had a preoperative endoscopic retrograde cholangiopancreatography (ERCP) for CBD stones seen on magnetic resonance cholangiopancreatography that during laparoscopic cholecystectomy with intraoperative cholangiogram (IOC), there were stones and\/or sludge found in the CBD, which required clearance through a transcystic approach. Of the 91 patients who did not have a preoperative ERCP, clearance of the CBD was successful through a transcystic approach in 78 patients (86%). In the 13 patients that intraoperative clearance was not achieved (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200913, 14%), a postoperative ERCP was performed. A total of 28 patients underwent either pre- or postoperative ERCP (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200928, 26%). Choledochotomy was not performed in any of the patients. The mean operative time was 127 minutes (127\u2009\u00b1\u200948). The mean hospital length of stay (LOS) was 4 days (3.9\u2009\u00b1\u20092.8) with a median LOS of 3 days. Complications observed include wound infection (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092, 2%), pancreatitis after ERCP (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091, 1%), pneumonia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091, 1%), and right hepatic duct injury (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091, 1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Transcystic LCBDE is an effective and safe option for treatment of CBD stones. While a transcystic approach does not guarantee clearance of the CBD, it avoids the morbidity associated with a choledochotomy and can often prevent patients from having to undergo an additional procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2022.0408","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T15:13:31Z","timestamp":1669994011000},"page":"276-280","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Five-Year Experience with Transcystic Laparoscopic Common Bile Duct Exploration"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2379-1039","authenticated-orcid":false,"given":"Jessica E.","family":"Wahi","sequence":"first","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Warmack","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Barghout","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kareem","family":"Kashif","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis E.","family":"Rosario","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen W.","family":"Unger","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devendra","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Medical Center (MSMC), Miami Beach, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irving","family":"Jorge","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/gow015"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15565"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(01)80073-1"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2007.121657"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2011.00317.x"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i24.3156"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6170-8"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07568-7"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.249"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003791"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9486"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.03.004"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6286-x"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5991-1"}],"container-title":["Journal of Laparoendoscopic &amp; 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