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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (04): 319-322. doi: 10.3877/cma.j.issn.1674-3946.2026.04.004

• Commentaries • Previous Articles    

Clinical significance of common bile duct mobility and its application value in laparoscopic cholecystectomy

Peizhong Shang1,(), Kejian Zhang1, Ana Nie1, Keqin Zhang2, Bing Liu1, Xiaowu Li1   

  1. 1 Department of General Surgery, the 81st Group Army Hospital of PLA, Zhangjiakou Hebei Province 075000, China
    2 Department of Paediatrics, Maternal and Child Health Care Hospital of Zhangjiakou City, Zhangjiakou Hebei Province 075000, China
  • Received:2026-01-28 Online:2026-08-26 Published:2026-07-21
  • Contact: Peizhong Shang
  • Supported by:
    Science and Technology Supporting Project of Hebei Province(11276103D-21); Zhangjiakou City Key R&D Project for Comprehensive Health and Biomedicine(2121065D); Scientific Research Project of the 81st Group Army Hospital of PLA(2022-1); Zhangjiakou City Key R & D Project for Hygiene, Health and Biomedicine(2522159D)

Abstract:

Angulation of the common bile duct caused by traction during laparoscopic cholecystectomy is one of the leading causes of iatrogenic bile duct injury. The mobility of the common bile duct refers to its flexibility for lateral swing and vertical stretching. Based on long-term clinical experience, the author classifies the common bile duct into two types: fixed type and lax type. The fixed type has poor mobility and is not prone to traction-induced angulation. In contrast, the lax type possesses considerable mobility and is easily angulated under traction, which may lead to common bile duct injury due to improper clipping and transection. Close vigilance against the lax common bile duct with high mobility is of great clinical significance for preventing iatrogenic bile duct injury and ensuring surgical safety.

Key words: Common Bile Duct Mobility, Laparoscopic Cholecystectomy, Iatrogenic Bile Duct Injury, Intraoperative Safety, Prevention

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