{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T03:39:25Z","timestamp":1788320365681,"version":"build-2803163510"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objective: To evaluate whether the efficacy and safety of primary duct closure(PDC) was limited to patients with a wider common bile duct(CBD) (\u22658 mm).\r\nMethods: A retrospective study of patients who underwent PDC after laparoscopic common bile duct exploration (LCBDE) at Taicang Affiliated Hospital of Soochow University from March 2012 to June 2019 was performed. Fifty-five patients were enrolled and classified into two groups according to the diameter of the CBD: the wider group (Group-W, CBD diameter\u22658 mm, n=36) and the slender group (Group-S, CBD diameter&lt;8 mm, n=19). The clinical data were compared and analysed.\r\nResults: No significant difference in the mean operative time, mean hospital stay or mean total charge was observed. Bile leakage occurred in 5.26%(1\/19) of patients in Group-S, which accounted for only 1.81% (1\/55) of total patients. There were no severe complications or mortality in either group. No significant differences in the rate of stone recurrence were observed. No biliary stricture occurred during follow-up.\r\nConclusions: PDC may not be limited by the slender CBD (&lt;8 mm), and the proper selection of patients and the standard surgical procedure are particularly important.\r\ndoi: https:\/\/doi.org\/10.12669\/pjms.40.11.9441\r\nHow to cite this: Shen D, Chang P, Xu H, Xu H, Lu Y. Is an 8 mm cutoff necessary when performing primary common bile duct closure after laparoscopic common bile duct exploration?. Pak J Med Sci. 2024;40(11):2632-2642. doi: https:\/\/doi.org\/10.12669\/pjms.40.11.9441\r\nThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http:\/\/creativecommons.org\/licenses\/by\/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.<\/jats:p>","DOI":"10.12669\/pjms.40.11.9441","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T17:47:59Z","timestamp":1732211279000},"page":"2636-2642","source":"Crossref","is-referenced-by-count":5,"title":["Is an 8 mm cutoff necessary when performing primary common bile duct closure after laparoscopic common bile duct exploration?"],"prefix":"10.12669","volume":"40","author":[{"given":"Danfeng","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haibin","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongxing","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingchao","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4935","published-online":{"date-parts":[[2024,11,21]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/9441\/2468","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/9441\/2468","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T12:17:29Z","timestamp":1778329049000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/9441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,21]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11,20]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.40.11.9441","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11,21]]}}}