Choledocholithiasis is reported to be present in 15-20% of patients with symptomatic gallstones. The single-stage management consists of performing either laparoscopic common bile duct exploration (LCBDE) or intraoperative endoscopic retrograde cholangiopancreatography (ERCP) at the same time as laparoscopic cholecystectomy (LC). Since the Coronavirus (COVID-19) pandemic, surgical practice has significantly been impacted. The pandemic has had ramifications on patient and staff safety, surgical techniques, minimally invasive procedures, theatre workflow, education and training. We analysed a series of LCBDE procedures in our institution pre-, intra- and post-COVID-19 pandemic to assess the feasibility, efficacy and safety of this single-stage treatment approach following the pandemic.
Study Type
OBSERVATIONAL
Enrollment
237
Choledochotomy and transductal common bile duct exploration or transcystic choledochoscopy and common bile duct exploration
Intraoperative measures
Size of choledochoscope, holmium laser lithotripsy use and stone clearance rates
Time frame: 90 days
Postoperative complications
Complications such as bile leak and pancreatitis, including hospital length of stay
Time frame: 90 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.