{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T05:49:22Z","timestamp":1782107362531,"version":"3.54.5"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Both endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic common bile duct exploration (LCBDE) have advantages and disadvantages. However, few surgeons integrate the strengths of both approaches to manage common bile duct stones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed the clinical data of 40 patients with gallbladder stones complicated by common bile duct stones, all of whom were treated by our treatment group between June 2024 and December 2024 in the Department of Hepatobiliary Surgery, Wuhan Central Hospital. Based on the surgical approach, the patients were divided into an experimental group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200930, combined use of laparoscopy, choledochoscopy, and duodenoscopy) and a control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910, ERCP followed by laparoscopic cholecystectomy). Data were collected in terms of demographic characteristics (age, gender, body mass index), intraoperative variables (operative time, estimated blood loss, and width of the common bile duct), and postoperative variables (time for postoperative gas passage, postoperative hospital stay, and complications).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the experimental group, the mean age of the patients was 63 years. The mean operative time was 152\u2005min. The mean estimated blood loss was 46\u2005mL. Two patients (6.7%) suffered from postoperative pancreatitis. In one patient, the condition was caused by intraoperative stone extraction manipulation. The condition of the two patients improved after symptomatic treatment for pancreatitis was administered. One patient (3.3%) suffered from biliary fistula. Compared with the control group, hospital stay was significantly shorter in the experimental group; however, there was an increase in operative blood loss and operative time. No significant differences were found in the other indices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In the management of gallbladder stones with common bile duct stones, the \u201csingle-stage triple-endoscopic approach\u201d represents a minimally invasive treatment with high clinical applicability. It is as safe and effective as traditional treatment regimens, and both ERCP and LCBDE have their own advantages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1752253","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T05:39:08Z","timestamp":1782106748000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of laparoscopy, choledochoscopy, and duodenoscopy in the treatment of gallstones with choledocholithiasis"],"prefix":"10.3389","volume":"13","author":[{"given":"Wei","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinhua","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rixin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaowan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thyroid and Breast Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and 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