choledocotomy was performed in 7 patients (25%). Primary or T-Tube choledocorraphy was performed in 5 (18%) and 2 patients (0,07%) respectively. The procedure was successful in 27 patients (96%). Due to hemodynamic instability, the procedure was finished prematurely in 1 patient leaving one stone and placing a T-Tube for further percutaneous clearance (0,05%). Major morbidity appeared in one patient consisting in biliary leakage and requiring reintervention (0,05%). Other major morbidity did not appear. 4 patients presented minor morbidity (14%). Median postoperative stay was 3 days. 11 patients were discharged before 24 hours (39%). No retained stones were documented. We used laser lithotripsy in 5 patients (18%). Conclusions: LCBDE is a safe and reproducible procedure, even in initial experience. Laser lithotripsy and a 3 mm choledoscope increase the global success rate allowing the trans-cystic approach in a considerable proportion of patients.
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