Appendix, Gallbladder and Surgical Emergencies · 25 January 2026

Laparoscopic bile duct exploration proves safe and effective for stones

Laparoscopic common bile duct exploration (LCBDE) offers surgeons a reliable way to manage bile duct stones with promising outcomes.

In a study of 1,689 patients, the overall conversion rate to open surgery was just 5%.
Success rates were high: 77.6% for trans-cystic LCBDE and 93.4% for trans-choledochal LCBDE.
Bile leak rates were notably lower for the trans-cystic approach (1.5%) compared to trans-ductal (8.8%).

This study supports LCBDE as a primary treatment option, emphasizing trans-cystic techniques for better patient safety.

Journal Article by Aroori S, Andrei T (…) Ashwin D et 64 al. in Surg Endosc

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