Current status and progress of laparoscopic common bile duct exploration in the treatment of choledocholithiasis / 中华消化外科杂志

ABSTRACT

Most of choledocholithiasis is secondary to gallbladder stone,and surgery remains the main treatment mode.In recent years,with the continuous improvement of minimally invasive techniques,the treatment of choledocholithiasis has changed from the traditional open surgery to laparoscopic common bile duct exploration (LCBDE).LCBDE has been widely carried out based on the advantages of small damage,rapid postoperative recovery and few complications.Two methods of LCBDE include through cystic duct and through common bile duct,although through cystic duct LCBDE has smaller damage,application range is narrow.Compared with T-tube drainage,primary suture of common bile duct after LCBDE has less effects on the body and is being promoted gradually.The application of barbed stitches in laparoscopic common bile duct suture has attracted increasing attention.This article reviews the current status and progress of LCBDE in the treatment of choledocholithiasis.