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CC BY 4.0 · Surg J (N Y) 2025; 11: a27288512
DOI: 10.1055/a-2728-8512
Original Article

Application of Laparoscopic Ultrasound in Cystic Duct Stone Surgery: A Retrospective Experience

Authors

  • Rongjun Chen

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China

  • Shilong Tang

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China

  • Songxu Qi

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China

  • Zheng Liang

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China

  • Xingdong Song

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China

  • Yongqiang Chen

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China

  • Yurong Luo

    1   Department of General Surgery, Dongguan Tungwah Hospital, Dongguan, China
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Abstract

Objective

To investigate the value of laparoscopic ultrasound (LUS) in the diagnosis of cystic duct stones and formulation of surgical strategies.

Materials and Methods

Clinical data from 41 patients with cystic duct stones were retrospectively analyzed. LUS was used to evaluate stone distribution and assess the surrounding vasculature, thereby preventing residual stones. Additionally, LUS was used to detect concurrent common bile duct (CBD) stones or assess potential stone migration into the CBD.

Results

Thirty-nine patients underwent laparoscopic cholecystectomy (LC), and two patients underwent LC combined with CBD exploration. The mean postoperative hospital stay was 3.95 ± 1.02 days. During a 3-month to 1-year follow-up, no biliary complications occurred.

Conclusion

LUS ensures safe and effective cholecystectomy for cystic duct stones by enabling real-time stone detection and preventing residual or migrated stones.

Keywords

laparoscopic ultrasound - gallstones - cystic duct stones - laparoscope - laparoscopic cholecystectomy - intraoperative diagnosis - surgical strategy

Authors' Contributions

R.C. conceived the study, acquired the data, and prepared the manuscript. S.T., S.Q., and Z.L. analyzed and interpreted the data. X.S., Y.C., and Y.L. reviewed the manuscript. All authors read and approved the final manuscript.


Ethical Approval

The study was approved by the Ethics Committee of Dongguan Tungwah Hospital. All methods were performed in accordance with the Declaration of Helsinki.


Consent for Publication

Written informed consent for publication of clinical details and imaging data was obtained from all participants or their legal guardians.




Publication History

Received: 09 August 2025

Accepted: 22 October 2025

Article published online:
06 November 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Rongjun Chen, Shilong Tang, Songxu Qi, Zheng Liang, Xingdong Song, Yongqiang Chen, Yurong Luo. Application of Laparoscopic Ultrasound in Cystic Duct Stone Surgery: A Retrospective Experience. Surg J (N Y) 2025; 11: a27288512.
DOI: 10.1055/a-2728-8512
 

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