Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Surg Proced. Sep 16, 2026; 16(2): 122292
Published online Sep 16, 2026. doi: 10.5412/wjsp.122292
Published online Sep 16, 2026. doi: 10.5412/wjsp.122292
Transcystic laparoscopic common bile duct stone clearance facilitated by intraoperative fluoroscopy guided cholangiography: A case report
Sanatan Bhandarkar, Nilesh Dotor, Nayan Bendapudi, Department of General and Minimal Access Surgery, Sir H N Reliance Foundation Hospital and Research Centre, Mumbai 400004, Mahārāshtra, India
Nagesh Kamat, Sanil Parekh, Sehajad Vora, Amit Maydeo, Institute of Gastrosciences, Sir H N Reliance Foundation Hospital and Research Centre, Mumbai 400004, Mahārāshtra, India
Author contributions: Kamat N wrote the manuscript; Bhandarkar S, Dotor N, Bendapudi N, Maydeo A, and Vora S were involved in the procedure; Parekh S, Dotor N, and Maydeo A were involved in the clinical management; All authors were involved in the preparation and approved the final version of the manuscript.
AI contribution statement: AI tools were not used to generate original scientific data, perform independent scientific analyses, or draw scientific conclusions.
Informed consent statement: Written Informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
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).
Corresponding author: Sanil Parekh, Additional Professor, Consultant, Institute of Gastro
Received: April 15, 2026
Revised: May 12, 2026
Accepted: June 8, 2026
Published online: September 16, 2026
Processing time: 154 Days and 14.9 Hours
Revised: May 12, 2026
Accepted: June 8, 2026
Published online: September 16, 2026
Processing time: 154 Days and 14.9 Hours
Core Tip
Core Tip: This case demonstrates a safe and effective single-stage laparoscopic transcystic clearance of a common bile duct (CBD) stone in an 83-year-old high-risk patient with concomitant cholelithiasis, choledocholithiasis, and acute cholecystitis, for whom conventional endoscopic retrograde cholangiopancreatography was not feasible due to a tight fibrotic duodenal stricture. The procedure avoided choledochotomy, resulted in smooth postoperative recovery, and highlights transcystic CBD exploration as a valuable minimally invasive alternative when endoscopic access is limited.