{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T05:02:28Z","timestamp":1780030948533,"version":"3.53.1"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Choledocholithiasis detected during laparoscopic cholecystectomy is common. There is no consensus for the best management in this context. Trans\u2010cystic biliary stent insertion is a well described but less commonly used method for managing choledocholithiasis with the gallbladder in\u00a0situ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective study including all patients undergoing trans\u2010cystic biliary stenting followed by ERCP at Box Hill Hospital, from 2021 to 2024. Outcomes compared to control cohort of native ERCP for choledocholithiasis at the same institution. The primary outcome was post\u2010ERCP pancreatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Trans\u2010cystic stenting was attempted in 49 patients. 45 (92%) were successful. The median age was 52\u2009years, 73.4% were female, and 67% admitted emergently. No episodes of post\u2010ERCP pancreatitis occurred when the trans\u2010cystic stent was in position at ERCP, compared with 5% in the control cohort. Biliary cannulation rate was 97% if a stent was present, compared with 91% in the control cohort. 20% of stents had migrated by the time of ERCP. One patient developed pancreatitis post failed trans\u2010cystic stent attempt. No other complications were recorded. The median length of stay (LOS) was 5.0\u2009days. A 40% of patients were discharged prior to ERCP, resulting in a shorter median LOS: 4.0 versus 6.0\u2009days (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014). No statistical differences were detected between variables for unsuccessful stenting, stent mis\u2010deployment, or stent migration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Trans\u2010cystic stenting resulted in a low rate of post\u2010ERCP pancreatitis and a high rate of biliary cannulation. It can be safely implemented by general surgeons and may result in a reduced length of stay.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70586","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T04:56:07Z","timestamp":1773809767000},"page":"1234-1238","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of Trans\u2010Cystic Stenting in Management of Choledocholithiasis During Cholecystectomy"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4312-046X","authenticated-orcid":false,"given":"Matthew","family":"Marshall\u2010Webb","sequence":"first","affiliation":[{"name":"Department of UGI and HPB Surgery Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gili","family":"Smart","sequence":"additional","affiliation":[{"name":"Department of UGI and HPB Surgery Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Chao","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medical and Health Sciences The University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayed","family":"Hassen","sequence":"additional","affiliation":[{"name":"Department of UGI and HPB Surgery Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1143-9129","authenticated-orcid":false,"given":"Adrian","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of UGI and HPB Surgery Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"Surgical Versus Endoscopic Treatment of Bile Duct Stones","volume":"2013","author":"Dasari B. 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