Common Bile Duct Exploration

  • Andrew LambourEmail author
  • Byron F. Santos


Surgical management of the biliary system is a valuable and necessary skill set for the practicing general surgeon. Laparoscopic common bile duct exploration (LCBDE) is a technique that allows for concomitant management of both the gallbladder and stones within the biliary ductal system. This approach offers the potential benefits of fewer procedures, decreased cost, and short hospital stays. This chapter provides an in-depth discussion of LCBDE including patient selection, operating room setup, technical aspects of both transcystic and transcholedocal approaches, and outcomes.


Laparoscopic Common Bile Duct Exploration Choledocholithiasis Transcystic Transcholedochal 


  1. 1.
    Bansal VK, et al. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial. Surg Endosc. 2014;28(3):875–85.CrossRefGoogle Scholar
  2. 2.
    Lu J, et al. Two-stage vs single-stage management for concomitant gallstones and common bile duct stones. World J Gastroenterol. 2012;18(24):3156–66.CrossRefGoogle Scholar
  3. 3.
    Lu JX, Xian-Ze, Cheng Y, Lin Y-X, Zhou R-X, You Z, Wu S-J, Cheng N-S. One-stage versus two-stage management for concomitant gallbladder stones and common bile duct stones in patients with obstructive jaundice. Am J. 2013;79(11):7.Google Scholar
  4. 4.
    Topal B, et al. Hospital cost categories of one-stage versus two-stage management of common bile duct stones. Surg Endosc. 2010;24(2):413–6.CrossRefGoogle Scholar
  5. 5.
    Santos BF, et al. Development and evaluation of a laparoscopic common bile duct exploration simulator and procedural rating scale. Surg Endosc. 2012;26(9):2403–15.CrossRefGoogle Scholar
  6. 6.
    Moller M, et al. Natural course vs interventions to clear common bile duct stones: data from the Swedish Registry for Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks). JAMA Surg. 2014;149(10):1008–13.CrossRefGoogle Scholar
  7. 7.
    Schwab B, et al. Single-stage laparoscopic management of choledocholithiasis: an analysis after implementation of a mastery learning resident curriculum. Surgery. 2018;163(3):503–8.CrossRefGoogle Scholar

Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  1. 1.Department of General SurgeryDartmouth-Hitchcock Medical CenterLebanonUSA

Personalised recommendations