Microincision of the cyst duct is safe and effective for the failed laparoscopic transcystic common bile duct exploration

Introduction Microincision of the cystic duct and its confluence part, which facilitated application transcystic-laparoscopic common bile (CBD) exploration (transcystic-LCBDE), had been described in some reports. However, it is unclear whether transcystic-LCBDE with microincision (micro-LCBDE) effective safe as transductal-LCBDE for failed patients choledocholithiasis. Methods In this retrospective cohort study, we assigned cholecystocholedocholithiasis to undergo laparoscopic cholecystectomy. The clinical outcomes one-to-one propensity-matched pairs Micro-LCBDE groups were compared. Results Between January 2007 December 2018, 1650 confirmed choledocholithiasis attempted transcystic-LCBDE. was done successfully 128 (7.8%) 69 (4.2%). By propensity score matching, 68 selected. There no significant difference in-hospital complication rate: 8.8% micro-LCBDE group 11.8% (p = 0.573). duration operation a little shorter than that transductal-LCBDE: median 125 (interquartile range 95-173) versus 150 (120-195) min respectively 0.003). Postoperative recovery faster transductal-LCBDE, reflected by postoperative hospital stay (median 3 5 days, p 0.002, respectively). also rates retained stone recurrence CBD between groups. Conclusions Our findings suggest surgery transcystic-LCBDE, suggesting an acceptable alternative