Transcystic Laparoscopic Common Bile Duct Exploration for Pediatric Patients with Choledocholithiasis: A Multi-Center Study

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Key takeaways

• Upfront laparoscopic cholecystectomy with intraoperative cholangiogram can potentially eliminate the need for ERCP in pediatric choledocholithiasis.
• Transcystic laparoscopic common bile duct exploration offers a single-stage surgical approach for clearing bile duct stones in children.
• The combined LC + IOC ± LCBDE approach may reduce hospital length of stay compared to traditional ERCP-first strategies.
• Multi-center data supports feasibility of transcystic LCBDE as an alternative to endoscopic intervention in pediatric populations.
• Single-stage surgical management decreases total number of procedures needed to treat pediatric choledocholithiasis.

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