Chen GB, Sha YG, Wang ZL, Wang DB, Tang RM, Chen YS. Laparoscopic micro-incision technique at cystic duct confluence for pediatric choledocholithiasis management: A case report. World J Gastrointest Surg 2025; 17(5): 105894 [DOI: 10.4240/wjgs.v17.i5.105894]
Corresponding Author of This Article
Yi-Sheng Chen, MD, Chief Physician, Professor, Department of General Surgery, Wuhu Guangji Hospital, No. 19 Zheshan Middle Road, Jinghu District, Wuhu 241000, Anhui Province, China. chenyisheng1953@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Guang-Bin Chen, Ding-Bang Wang, Rong-Mei Tang, Department of Hepatobiliary Surgery, The Second People’s Hospital of Wuhu, Wuhu Hospital Affiliated to East China Normal University, Wuhu 241000, Anhui Province, China
Guang-Bin Chen, Yan-Guang Sha, Zhi-Lin Wang, Graduate School, Wannan Medical College, Wuhu 241000, Anhui Province, China
Yi-Sheng Chen, Department of General Surgery, Wuhu Guangji Hospital, Wuhu 241000, Anhui Province, China
Co-first authors: Guang-Bin Chen and Yan-Guang Sha.
Co-corresponding authors: Rong-Mei Tang and Yi-Sheng Chen.
Author contributions: Chen GB and Sha YG contributed equally to this work as co-first authors; Tang RM and Chen YS designed the overall concept and outline of the manuscript, they contributed equally as co-corresponding authors; Chen GB, Sha YG, and Wang DB performed the surgical procedure and wrote the paper; Wang ZL and Wang DB managed the patient; Chen GB, Sha YG, Chen YS, and Wang ZL contributed to the discussion and design of the manuscript and edited the pictures; all authors have read and approve the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi-Sheng Chen, MD, Chief Physician, Professor, Department of General Surgery, Wuhu Guangji Hospital, No. 19 Zheshan Middle Road, Jinghu District, Wuhu 241000, Anhui Province, China. chenyisheng1953@163.com
Received: February 10, 2025 Revised: March 15, 2025 Accepted: April 3, 2025 Published online: May 27, 2025 Processing time: 102 Days and 20.2 Hours
Core Tip
Core Tip: We present a novel microincision technique at the cystic duct confluence during laparoscopic common bile duct exploration for pediatric choledocholithiasis. By avoiding T-tube placement, critical for active children requiring unrestricted movement and timely return to school, this approach minimizes ductal trauma, preserves biliary integrity, and accelerates recovery. A 12-year-old patient achieved rapid normalization of liver function and symptom resolution with no recurrence at the 16-month follow-up visit. This innovation addresses pediatric-specific anatomical and lifestyle challenges, offering a safer, minimally invasive alternative to conventional methods. This technique underscores the need for surgical strategies tailored to the unique needs of children.
