Impact of COVID-19 Pandemic on Single-stage Laparoscopic Cholecystectomy and Laparoscopic Common Bile Duct Exploration Service

Choledocholithiasis is reported to be present in 15-20% of patients with symptomatic gallstones. The single-stage management consists of performing either laparoscopic common bile duct exploration (LCBDE) or intraoperative endoscopic retrograde cholangiopancreatography (ERCP) at the same time as laparoscopic cholecystectomy (LC).

Since the Coronavirus (COVID-19) pandemic, surgical practice has significantly been impacted. The pandemic has had ramifications on patient and staff safety, surgical techniques, minimally invasive procedures, theatre workflow, education and training.

The investigators analysed a series of LCBDE procedures in our institution pre-, intra- and post-COVID-19 pandemic to assess the feasibility, efficacy and safety of this single-stage treatment approach following the pandemic.

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Key information

Conditions

Gallstone Biliary Tract Diseases Calculi Cholecystolithiasis Cholelithiasis Digestive System Diseases Gallbladder Diseases Gallstones Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms

Sex eligibility

All sexes

Study type

Observational

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients that underwent single-stage LC + LCBDE for the management of choledocholithiasis with concomitant gallstones.

Exclusion criteria

Patients that underwent LC only or LCBDE only

Treatment and study plan

Single-stage LC + LCBDE

Other

Choledochotomy and transductal common bile duct exploration or transcystic choledochoscopy and common bile duct exploration

Primary outcomes

Intraoperative measures

Time frame: 90 days

Number of participants, size of choledochoscope used, rate of holmium laser lithotripsy use and stone clearance rates
Postoperative complications

Time frame: 90 days

Number of participants, number of complications (e.g. bile leak and pancreatitis), duration of hospital length of stay

Sponsors and collaborators

Lead sponsor

Imperial College London

Other

Registry information

Official study title

Evaluation of a Single-stage Laparoscopic Cholecystectomy and Laparoscopic Common Bile Duct Exploration Service Pre-, Intra- and Post-COVID-19 Pandemic: a Retrospective Cohort Study

Important dates

Study start: 2016
Primary completion: 2024
Study completion: 2025
First posted: May 15, 2025
Registry last updated: Mar 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed