{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:40:05Z","timestamp":1747183205518,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2019,6,23]],"date-time":"2019-06-23T00:00:00Z","timestamp":1561248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The present study aimed to explore the indications and feasibility of T\u2010tube\u2010free trans\u2010umbilical single\u2010incision laparoscopic common bile duct exploration (SILCBDE) plus laparoscopic cholecystectomy (LC) for treating choledocholithiasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients hospitalized in the Second Affiliated Hospital (Shengjing Hospital) of China Medical University from January 2010 to January 2017 with the diagnosis of common bile duct stones and treated with T\u2010tube\u2010free trans\u2010umbilical single\u2010incision LC plus common bile duct exploration were retrospectively analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 37 male\/female choledocholithiasis patients (mean age 65 years, range 29\u201386) were treated with T\u2010tube\u2010free trans\u2010umbilical SILCBDE plus LC. No intraoperative complication or conversion to open surgery occurred in any of the cases. The mean operative time was 99.8 min (range 84\u2013125) for endoscopic nasobiliary drainage group (<jats:italic>n<\/jats:italic>\u2009=\u20096), 113.8 min (range 70\u2013150) for endoscopic retrogradebiliary drainage group (<jats:italic>n<\/jats:italic>\u2009=\u20092), 131.1 min (range 75\u2013161) for pigtail J\u2010tube group (<jats:italic>n<\/jats:italic>\u2009=\u200924), 113.7 min (range 100\u2013150) for primary closure group (<jats:italic>n<\/jats:italic>\u2009=\u20095). The mean post\u2010operative hospital stay length was 5.5 days (range 4\u20137) for endoscopic nasobiliary drainage group, 12.5 days (range 10\u201315) for endoscopic retrogradebiliary drainage group, 6.5 days (range 4\u201310) for J\u2010tube group, 5.8 days (range 4\u20139) for primary closure group. Pancreatitis, bile leakage and peritonitis were not presented in any of the group. After 17\u2013101\u2009months follow\u2010up, three patients presented recurrent common bile duct stones.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In selected cases, T\u2010tube\u2010free trans\u2010umbilical SILCBDE plus LC is feasible and safe for experienced surgeons, and can achieve similar therapeutic effects as common LC plus common bile duct exploration procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15311","type":"journal-article","created":{"date-parts":[[2019,6,23]],"date-time":"2019-06-23T23:38:57Z","timestamp":1561333137000},"page":"895-899","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["T\u2010tube\u2010free single\u2010incision laparoscopic common bile duct exploration plus cholecystectomy: a single centre 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