title: Laparoendoscopic single-site cholecystectomy and common bile duct exploration using conventional instruments.
abstract: BACKGROUND
  Optimization of quality of life is an important goal in the advanced surgery. Herein we share our fifteen cases to demonstrate the feasibility of scarless laparoendoscopic single-site common bile duct (CBD) exploration using conventional instruments in the management of CBD stones.
  
  
  METHODS
  Fifteen patients (4 male) underwent transumbilical laparoendoscopic single-site cholecystectomy and CBD exploration: the patients were diagnosed with CBD stones. The endoscopic nasobiliary drainage (ENBD), endoscopic retrograde biliary drainage (ERBD) or J-type tube was introduced into the CBD preoperatively or intraoperatively. A 2-cm periumbilical incision was made for the placement of three trocars. Conventional rigid laparoscopic instruments were solely used throughout the procedure, and operative techniques were carried out in the same fashion as for conventional T-tube-free laparoscopic cholecystectomy and CBD exploration.
  
  
  RESULTS
  The procedures were completed uneventfully in the mean duration of 125.7 min. Three patients occurred pigtail J-tube displacement and all three were later excreted safely in stool.
  
  
  CONCLUSIONS
  Laparoendoscopic single-site cholecystectomy and CBD exploration appears to be a technically feasible alternative to standard laparoscopic procedure, and can be performed using conventional laparoscopic instruments. Laparoscopic primary closure with preoperative ENBD and ERBD tubes and with intraoperative J-tubes is safe and feasible.
authors: Department of General Surgery, Shengjing Hospital, China Medical University, PR China.
authors: Yu
authors: Y
authors: Tian
authors: Department of General Surgery, Shengjing Hospital, China Medical University, PR China. Electronic address: 18940256588@163.com.
authors: Shuodong
authors: S
authors: Wu
authors: Department of General Surgery, Shengjing Hospital, China Medical University, PR China.
authors: Chun-Chih
authors: CC
authors: Chen
authors: Department of General Surgery, Shengjing Hospital, China Medical University, PR China.
authors: Yongsheng
authors: Y
authors: Chen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation* / Q000379:methods; D003135:Common Bile Duct / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Common bile duct; Common bile duct exploration; Laparoendoscopic single-site surgery