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Articles Published Processes
7/23/2025 11:10:46 AM | Browse: 49 | Download: 242
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Received |
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2025-03-06 10:15 |
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Peer-Review Started |
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2025-03-06 10:15 |
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First Decision by Editorial Office Director |
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2025-04-08 07:41 |
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Return for Revision |
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2025-04-08 16:51 |
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Revised |
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2025-04-17 10:15 |
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Publication Fee Transferred |
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2025-04-18 07:31 |
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Second Decision by Editor |
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2025-05-20 02:45 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2025-05-20 06:03 |
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Articles in Press |
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2025-05-20 06:03 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2025-07-08 06:44 |
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Publish the Manuscript Online |
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2025-07-23 11:10 |
| ISSN |
1948-9366 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Study |
| Article Title |
Ice-breaking sign: A radiological sign influencing the treatment strategies for choledocholithiasis
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Xiao-Yu Zhao, Ming Chen, Gang Wang, Long Cui, Zhi Xu, Chun-Sheng Hou, Li-Xin Wang, Ling-Fu Zhang and Xiao-Feng Ling |
| ORCID |
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| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Clinical Cohort Construction Program of Peking University Third Hospital |
No. BYSYDL2023005 |
| Peking University Third Hospital Innovation Transformation Fund |
No. BYSYZHZB2023105 |
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| Corresponding Author |
Xiao-Feng Ling, MD, PhD, Professor, Department of General Surgery, Peking University Third Hospital, No. 49 Huayuan North Road, Beijing 100191, China. xiaofengling@bjmu.edu.cn |
| Key Words |
Laparoscopic management; Endoscopic management; Difficult common bile duct stones; Surgical approach; Choledocholithiasis |
| Core Tip |
This study identified the ice-breaking sign, a novel radiological marker on magnetic resonance cholangiopancreatography, characterized by abrupt distal common bile duct narrowing with proximal dilation in choledocholithiasis. Patients with this sign exhibited markedly lower success rates for endoscopic retrograde cholangiopancreatography (25.0% vs 81.8%) and laparoscopic common bile duct exploration (69.4% vs 93.8%), necessitating advanced techniques like lithotripsy. The sign indicates higher surgical complexity and underscores laparoscopic common bile duct exploration as the preferred approach over endoscopic retrograde cholangiopancreatography. Preoperative recognition aids in risk stratification, optimizing treatment strategies for challenging bile duct stones. |
| Publish Date |
2025-07-23 11:10 |
| Citation |
Zhao XY, Chen M, Wang G, Cui L, Xu Z, Hou CS, Wang LX, Zhang LF, Ling XF. Ice-breaking sign: A radiological sign influencing the treatment strategies for choledocholithiasis. World J Gastrointest Surg 2025; 17(7): 106712 |
| URL |
https://www.wjgnet.com/1948-9366/full/v17/i7/106712.htm |
| DOI |
https://dx.doi.org/10.4240/wjgs.v17.i7.106712 |
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