Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2023; 11(29): 7193-7199
Published online Oct 16, 2023. doi: 10.12998/wjcc.v11.i29.7193
Laparoscopic choledocholithotomy and transductal T-tube insertion with indocyanine green fluorescence imaging and laparoscopic ultrasound: A case report
Daegwang Yoo
Daegwang Yoo, Department of Surgery, Seoul Soonchunhyang University Hospital, Seoul 04401, South Korea
Author contributions: Yoo D wrote the case report, performed the conceptualization and patient information acquisition, and drafted and critically revised the article for important intellectual content.
Supported by the Soonchunhyang University Research Fund, No. 2023-0060.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The author has no conflicts of interest to declare.
CARE Checklist (2016) statement: The author 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: Daegwang Yoo, MD, PhD, Assistant Professor, Department of Surgery, Seoul Soonchunhyang University Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul 04401, South Korea. yoodaegwang@naver.com
Received: July 6, 2023
Peer-review started: July 6, 2023
First decision: July 18, 2023
Revised: July 28, 2023
Accepted: September 18, 2023
Article in press: September 18, 2023
Published online: October 16, 2023
Processing time: 99 Days and 13.2 Hours
Core Tip

Core Tip: Laparoscopic choledocholithotomy for a large impacted common bile duct (CBD) stone is a challenging procedure, even in this era of minimally invasive surgery. A 71-year-old man showed a distal CBD stone (45 mm) and a middle CBD stone (20 mm). Laparoscopic choledocholithotomy was performed with a near-infrared indocyanine green fluorescence scope and laparoscopic intraoperative ultrasound. Two CBD stones were successfully removed with the Endo BabcockTM, and T-tube insertion was done. This case shows that laparoscopic choledocholithotomy by the transcholedochal approach and transductal T-tube insertion is a safe and feasible option for large-sized impacted CBD stones.