Advances in surgical treatment strategies for common bile duct stones

DING Yihui; XU Haoyu; MA Lu; SHE Zhanfei

doi:10.16766/j.cnki.issn.1674-4152.004140

Volume 23 Issue 8

Aug. 2025

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DING Yihui, XU Haoyu, MA Lu, SHE Zhanfei. Advances in surgical treatment strategies for common bile duct stones[J]. Chinese Journal of General Practice, 2025, 23(8): 1387-1390. doi: 10.16766/j.cnki.issn.1674-4152.004140

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DING Yihui, XU Haoyu, MA Lu, SHE Zhanfei. Advances in surgical treatment strategies for common bile duct stones[J]. Chinese Journal of General Practice, 2025, 23(8): 1387-1390. doi: 10.16766/j.cnki.issn.1674-4152.004140

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Advances in surgical treatment strategies for common bile duct stones

doi: 10.16766/j.cnki.issn.1674-4152.004140

DING Yihui¹
, XU Haoyu²
, MA Lu²
, SHE Zhanfei^{2
,
,}

1.
Inner Mongolia Medical University, Ordos, Inner Mongolia 017000, China

Funds:

202201584

20201207

鄂财科指〔2022〕711号

Received Date: 2024-08-29
Available Online: 2025-10-31

Abstract

Abstract

Choledocholithiasis is a common and recurrent biliary disease. It can cause severe abdominal pain due to bile duct obstruction and may even to acute obstructive suppurative cholangitis, posing serious threatens to human health. The treatment standard is complete stone removal upon diagnosis. With the increasing incidence of choledocholithiasis, treatment methods have continuously evolved. Although the ultimate goal of all treatment methods is to achieve complete clearance of stones from the common bile duct, each approach differs in terms of the equipment used, as well as the entry site and pathway into the bile duct. This review provides a detailed overview of the clinical treatments, including: percutaneous transhepatic papillary balloon dilation (PTPBD) via the percutaneous transhepatic route, laparoscopic common bile duct exploration (LCBDE) through direct access to the common bile duct, laparoscopic transcystic common bile duct exploration (LTCBDE) via the cystic duct, T-tube tract stone extraction via a pre-existing sinus tract, and endoscopic retrograde cholangiopancreatography (ERCP) through the endoscopic retrograde pancreatobiliary route.
- Choledocholithiasis,
- Lithotomy approach,
- Surgical treatment

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References(40)

References

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Advances in surgical treatment strategies for common bile duct stones

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