{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:41:41Z","timestamp":1792658501117,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Same\u2010day discharge following laparoscopic common bile duct exploration (LCBDE) remains uncommon despite increasing use of single\u2010stage management for choledocholithiasis. This study evaluated the safety and feasibility of day\u2010case LCBDE, factors associated with postoperative length of stay, and potentially modifiable barriers to same\u2010day discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected retrospectively from 851 consecutive patients who underwent LCBDE for choledocholithiasis between September 2008 and December 2022. Patients were grouped by postoperative length of stay (POD0, POD1 or POD\u2009\u2265\u20092), with clinical and operative characteristics compared between groups. Safety outcomes and documented reasons for overnight admission amongst patients discharged on POD1 were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen patients (1.9%) were discharged on POD0, 305 (35.8%) on POD1 and 530 (62.3%) on POD\u2009\u2265\u20092. POD0 patients were younger, more often elective, had lower inflammatory and obstructive markers, and underwent shorter procedures. No POD0 patient developed a postoperative complication, had a retained common bile duct stone or was readmitted within 90\u2009days. Amongst POD1 patients with successful transcystic LCBDE, drain monitoring accounted for 55.5% of documented overnight admissions and postoperative blood testing for 16.3%. No patient in this POD1 subgroup developed a recorded bile leak, postoperative haemorrhage or required reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Same\u2010day discharge following uncomplicated transcystic LCBDE appears feasible in selected patients. Successful uncomplicated transcystic exploration, together with patient factors may help guide selection for same\u2010day discharge, while more selective use of abdominal drain and postoperative blood testing may reduce unnecessary overnight admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.71029","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:23:51Z","timestamp":1792657431000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Selection and Barriers to Day\u2010Case Laparoscopic Common Bile Duct Exploration: A Retrospective Cohort Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2537-7786","authenticated-orcid":false,"given":"Shin Yee","family":"Lok","sequence":"first","affiliation":[{"name":"Division of Surgery Northern Health  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8753-8545","authenticated-orcid":false,"given":"Tess","family":"Howard","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rumana","family":"Islam","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Bird","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4772-516X","authenticated-orcid":false,"given":"Russell","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Division of Surgery Northern Health  Epping Victoria Australia"},{"name":"Department of Surgery University of Melbourne  Epping Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4174\/astr.2016.91.5.239","article-title":"Prevalence and Characteristics of Clinically Significant Retained Common Bile Duct Stones After Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis","volume":"91","author":"Lee D. H.","year":"2016","journal-title":"Annals of Surgical Treatment and Research"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"2125","DOI":"10.1016\/j.hpb.2022.08.014","article-title":"Outcomes Following Common Bile Duct Exploration Versus Endoscopic Stone Extraction Before, During and After Laparoscopic Cholecystectomy for Patients With Common Bile Duct Stones","volume":"24","author":"De Silva H. M.","year":"2022","journal-title":"HPB: The Official Journal of the International Hepato Pancreato Biliary Association"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"3763","DOI":"10.1007\/s00464-018-6170-8","article-title":"Single\u2010Stage Laparoscopic Common Bile Duct Exploration and Cholecystectomy Versus Two\u2010Stage Endoscopic Stone Extraction Followed by Laparoscopic Cholecystectomy for Patients With Gallbladder Stones With Common Bile Duct Stones: Systematic Review and Meta\u2010Analysis of Randomized Trials With Trial Sequential Analysis","volume":"32","author":"Singh A. N.","year":"2018","journal-title":"Surgical Endoscopy"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"e41902","DOI":"10.1097\/MD.0000000000041902","article-title":"Meta\u2010Analysis of Randomized Controlled Trials Comparing Single\u2010Stage Laparoscopic Versus Two\u2010Stage Endoscopic Management Followed by Laparoscopic Cholecystectomy of Preoperatively Diagnosed Common Bile Duct Stones","volume":"104","author":"Chaouch M. A.","year":"2025","journal-title":"Medicine"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.21037\/ales-2025-1-66","article-title":"Laparoscopic Common Bile Duct Exploration Versus Preoperative Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Cholecystectomy for Choledocholithiasis: A Narrative Review","volume":"11","author":"Barekatain K.","year":"2026","journal-title":"Annals of Laparoscopic and Endoscopic Surgery"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1016\/j.gie.2018.10.001","article-title":"ASGE Guideline on the Role of Endoscopy in the Evaluation and Management of Choledocholithiasis","volume":"89","author":"Committee ASoP","year":"2019","journal-title":"Gastrointestinal Endoscopy"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.1111\/ans.19241","article-title":"Day Case Laparoscopic Cholecystectomy: A Review of Patient Selection Factors and Identification of Potential Barriers to Same\u2010Day Discharge","volume":"94","author":"Rickward J.","year":"2024","journal-title":"ANZ Journal of Surgery"},{"key":"e_1_2_9_9_1","first-page":"CD006798","article-title":"Day\u2010Case Versus Overnight Stay for Laparoscopic Cholecystectomy","author":"Gurusamy K. S.","year":"2008","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_10_1","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\u2010Analysis","volume":"43","author":"Hajibandeh S.","year":"2019","journal-title":"World Journal of Surgery"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1002\/bjs5.50132","article-title":"Meta\u2010Analysis of Laparoscopic Transcystic Versus Transcholedochal Common Bile Duct Exploration for Choledocholithiasis","volume":"3","author":"Bekheit M.","year":"2019","journal-title":"BJS Open"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1089\/lap.2013.0537","article-title":"Short\u2010Term Outcomes of Laparoscopic Transcystic Common Bile Duct Exploration With Discharge Less Than 24 Hours","volume":"24","author":"Zhu J. G.","year":"2014","journal-title":"Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/S1091-255X(03)00026-X","article-title":"Transcystic Common Bile Duct Exploration in the Management of Patients With Choledocholithiasis","volume":"7","author":"Rojas\u2010Ortega S.","year":"2003","journal-title":"Journal of Gastrointestinal Surgery"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1089\/lap.2021.0156","article-title":"Should Common Bile Duct Exploration for Choledocholithiasis be a Specialist\u2010Only Procedure?","volume":"31","author":"Hodgson R.","year":"2021","journal-title":"Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1177\/0003134820949527","article-title":"Laparoscopic Exploration of the Common Bile Duct: A Systematic Review of the Published Evidence Over the Last 10\u2009Years","volume":"87","author":"Marks B.","year":"2021","journal-title":"American Surgeon"},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"2858","DOI":"10.1007\/s00464-025-12529-z","article-title":"Safety and Outcomes of Laparoscopic Bile Duct Exploration: A UK\u2010Wide Multi\u2010Centre Study (R\u2010ALiCE)","volume":"40","author":"Aroori S.","year":"2026","journal-title":"Surgical Endoscopy"},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/j.jamcollsurg.2017.12.023","article-title":"Diminished Survival in Patients With Bile Leak and Ductal Injury: Management Strategy and Outcomes","volume":"226","author":"Fong Z. V.","year":"2018","journal-title":"Journal of the American College of Surgeons"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s00423-021-02264-z","article-title":"Risk Identification and Technical Modifications Reduce the Incidence of Post\u2010Cholecystectomy Bile Leakage: Analysis of 5675 Laparoscopic Cholecystectomies","volume":"407","author":"Nassar A. H. M.","year":"2022","journal-title":"Langenbeck's Archives of Surgery"},{"key":"e_1_2_9_19_1","first-page":"427","article-title":"Can Laparoscopic Common Bile Duct Exploration Be Performed Without Any Drainage? A Propensity Score\u2010Matched Study","volume":"19","author":"Zheng C.","year":"2024","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"e_1_2_9_20_1","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1007\/s00423-021-02115-x","article-title":"Routine Postoperative Blood Tests Fail to Reliably Predict Procedure\u2010Related Complications After Laparoscopic Cholecystectomy","volume":"406","author":"Strohaker J.","year":"2021","journal-title":"Langenbeck's Archives of Surgery"},{"key":"e_1_2_9_21_1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4240\/wjgs.v9.i6.149","article-title":"Utility of Routine Blood Tests After Elective Laparoscopic Cholecystectomy for Symptomatic Gallstones","volume":"9","author":"Ben\u2010Ishay O.","year":"2017","journal-title":"World Journal of Gastrointestinal Surgery"},{"key":"e_1_2_9_22_1","volume-title":"PG15 (POM) Guideline for the Perioperative Care of Patients Selected for Day Stay Procedures 2018","author":"ANZCA","year":"2018"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.70907"},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1089\/lap.2022.0526","article-title":"Comparing Stone Recurrence Following Surgical Common Bile Duct Exploration or Endoscopic Stone Extraction for Patients With Common Bile Duct Stones","volume":"33","author":"De Silva H. M.","year":"2023","journal-title":"Journal of Laparoendoscopic & Advanced Surgical Techniques. 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