The ideal approach of minimally invasive therapy for cholecystocholedocholithiasis remains a matter of debate. The common minimally invasive therapeutic approach varies among laparoscopic cholecystectomy (LC) combined with endoscopic sphincterotomy (EST) or endoscopic papillary balloon dilatation (EPBD), laparoscopic transcystic common bile duct exploration (LTCBDE), laparoscopic transductal common bile duct exploration (LCBDE) with or without T-tube drainage, laparoscopic transcystic approach with microincision of the cystic duct confluence in common bile duct exploration (LTM-CBDE), and even SpyGlass-guided laser lithotripsy.
Although above various minimally invasive therapeutic approaches are widely used, there is still a lack of consensus on some methods, such as the advantages and disadvantages of endoscopic sphincterotomy (EST); the controversial procedure of LC with preoperative, intraoperative, or postoperative EST/EPBD; the lower rate of success of LTCBDE; the indication of LTM-CBDE; and the clinical efficacy and safety of SpyGlass-guided laser lithotripsy, etc. Especially, although nearly 90% of extrahepatic bile duct stones can be removed by EST, it destroys the function of the sphincter of Oddi, which can cause postoperative duodenal fluid reflux and increase the risk of reflux cholangitis, recurrent CBD stones and even cholangiocarcinoma. Therefore, the protection of the structure and function of the sphincter of Oddi should be paid attention to.
The goal of this Research Topic is to further analyze the advantages and disadvantages of various minimally invasive therapy and actively explore the best approach for cholecystocholedocholithiasis. Welcome to submit basic and clinical research articles, reviews, or methods.
The ideal approach of minimally invasive therapy for cholecystocholedocholithiasis remains a matter of debate. The common minimally invasive therapeutic approach varies among laparoscopic cholecystectomy (LC) combined with endoscopic sphincterotomy (EST) or endoscopic papillary balloon dilatation (EPBD), laparoscopic transcystic common bile duct exploration (LTCBDE), laparoscopic transductal common bile duct exploration (LCBDE) with or without T-tube drainage, laparoscopic transcystic approach with microincision of the cystic duct confluence in common bile duct exploration (LTM-CBDE), and even SpyGlass-guided laser lithotripsy.
Although above various minimally invasive therapeutic approaches are widely used, there is still a lack of consensus on some methods, such as the advantages and disadvantages of endoscopic sphincterotomy (EST); the controversial procedure of LC with preoperative, intraoperative, or postoperative EST/EPBD; the lower rate of success of LTCBDE; the indication of LTM-CBDE; and the clinical efficacy and safety of SpyGlass-guided laser lithotripsy, etc. Especially, although nearly 90% of extrahepatic bile duct stones can be removed by EST, it destroys the function of the sphincter of Oddi, which can cause postoperative duodenal fluid reflux and increase the risk of reflux cholangitis, recurrent CBD stones and even cholangiocarcinoma. Therefore, the protection of the structure and function of the sphincter of Oddi should be paid attention to.
The goal of this Research Topic is to further analyze the advantages and disadvantages of various minimally invasive therapy and actively explore the best approach for cholecystocholedocholithiasis. Welcome to submit basic and clinical research articles, reviews, or methods.
