Various Techniques for the Surgical Treatment of Common Bile Duct Stones: A Meta Review

Table 2

Effective and important factors in CBD stones approach [70].

Factor	Trans-cystic approach	Trans-ductal approach
Single stone	Yes	Yes
Multiple stones	Yes	Yes
Stones <6 mm diameter each	Yes	Yes
Stones >6 mm diameter each	No	Yes
Intrahepatic stones	No	Yes
Diameter of cystic duct <4 mm	No	Yes
Diameter of cystic duct >4 mm	Yes	Yes
Diameter of common bile duct <6 mm	Yes	No
Diameter of common bile duct >6 mm	Yes	Yes
Cystic duct entrance—lateral	Yes	Yes
Cystic duct entrance—posterior	No	Yes
Cystic duct entrance—distal	No	Yes
Inflammation—mild	Yes	Yes
Inflammation—marked	Yes	No
Suturing ability—poor	Yes	No
Suturing ability—good	Yes	Yes