LTCBDELaparoscopic Transcystic Common Bile Duct Exploration
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(2) For concomitant gallstones and common bile duct stones, if the common bile duct is not expanded (diameter <0.8 cm), and the common bile duct stones are small (diameter <1.5 cm), laparoscopic cholecystectomy (LC) combined with endoscopic sphincterotomy (EST) or endoscopic papillary balloon dilatation and LC plus laparoscopic transcystic common bile duct exploration (LTCBDE) can be used.
It was reported that for patients with choledocholithiasis and gallstones who underwent single-step treatment combining LTCBDE and LC, there was no significant difference in the success rate of LTCBDE in the elderly group (age ≥70 years) compared with the younger group (<70 years), and the rates of postoperative complications at discharge were similar between the groups, which indicated that LTCBDE in elderly patients was as effective and safe as in younger patients.