1282 Evaluation of the Basket in Catheter Technique for Transcystic Bile Duct Exploration and Suspected Ductal Stones

Abstract Aim The ‘Basket-in-catheter’ (BIC) technique facilitates laparoscopic transcystic ductal exploration (LTCE) and increases its success rate, being easier safer than inserting the basket alone. This study evaluates benefits in confirmed suspected stones. Method Prospective preoperative, operative postoperative data on consecutive single session explorations was collected over 28 years analysed. BIC became our default for approach to or bile duct Results 741 of 1225 (60.5%) attempted LTCE were performed using retrieval baskets without dilating cystic (CD). used 646 (87.2%). Of 386 (52.1%) patients undergoing successful stone 62.7% had clinical radiological risk factors stones 92.0% positive intraoperative cholangiography. 355 (47.9%) preoperative CBD equivocal cholangiography 25%. Basket trawling negative repeat resolution abnormalities. Choledochoscopy utilised 484/1225 (39.5%), either primarily when blind failed extract Retained occurred 7 patients, six requiring ERCP. Bile leakage 6 patients. There two open conversions, no biliary injuries mortality. Post-operative pancreatitis recurrent 8 Conclusions achieves CD dilatation 40%, reducing need choledochoscopy choledochotomy. It safe speedy are due helps surgeons acquire consolidate skills.