Skip to main content
SpringerLink
Log in

Laparoscopic Transcystic Common Bile Duct Exploration

  • Chapter
  • First Online:
Choledocholithiasis

  • 618 Accesses

Abstract

Laparoscopic transcystic duct approaches to the treatment of common bile duct (CBD) stones were introduced in 1989. A wide variety of techniques have been developed since that time. While this approach is not applicable to all patients with CBD stones, it is highly successful (>90% clearance rates) in a large percentage of them when employed by well-trained biliary tract surgeons. Many of the techniques are not that difficult to master, and many of them do not require expensive choledochoscopic equipment. This chapter focuses on a comprehensive approach to choledocholithiasis while emphasizing the least invasive techniques that can be performed through the cystic duct.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Nahrwold D. The biliary system. In: Sabiston X, editor. Textbook of surgery. Philadelphia: WE Saunders; 1986.

    Google Scholar 

  2. Way LW, Admirand WJ, Dunphy JE. Management of choledocholithiasis. Ann Surg. 1972;176:347–59.

    Article  CAS  Google Scholar 

  3. Beal J. Historical perspective of gallstone disease. Surg Gynecol Obstet. 1984;158:181–9.

    CAS  PubMed  Google Scholar 

  4. Petelin J. Laparoscopic approach to common duct pathology. Surg Laparosc Endosc. 1991;1:33–41.

    CAS  PubMed  Google Scholar 

  5. Hunter J. Laparoscopic transcystic common bile duct exploration. Am J Surg. 1992;163:53–8.

    Article  CAS  Google Scholar 

  6. Carroll BJ, Phillips EH, Daykhovsky L, Grundfest WS, Gersham A, Fallas M, Chandra M. Laparoscopic choledochoscopy: an effective approach to the common duct. J Laparoendosc Surg. 1992;2:15–21.

    Article  CAS  Google Scholar 

  7. Jacobs M, Verdeja JC, Goldstein HS. Laparoscopic choledocholithotomy. J Laparoendosc Surg. 1991;1(2):79–82.

    Article  CAS  Google Scholar 

  8. Quattlebaum JK, Flanders HD. Laparoscopic treatment of common bile duct stones. Surg Laparosc Endosc. 1991;1(1):26–32.

    PubMed  Google Scholar 

  9. Appel S, Krebs H, Fern D. Techniques for laparoscopic cholangiography and removal of common duct stones. Surg Endosc. 1992;6:134–7.

    Article  CAS  Google Scholar 

  10. Fink AS. To ERCP or not to ERCP? That is the question. Surg Endosc. 1993;7:375–6.

    Article  CAS  Google Scholar 

  11. Birkett D. Technique of cholangiography and cystic-duct choledochoscopy at the time of laparoscopic cholecystectomy for laser lithotripsy. Surg Endosc. 1992;6:252–4.

    Article  CAS  Google Scholar 

  12. Fletcher D, Jones RM, O’Riordan B, Hardy KJ. Laparoscopic cholecystectomy for complicated gallstone disease. Surg Endosc. 1992;6:179–82.

    Article  CAS  Google Scholar 

  13. Dion YM, Morin J, Dionne G, Dejoie C. Laparoscopic cholecystectomy and choledocholithiasis. Can J Surg. 1992;35:67–74.

    CAS  PubMed  Google Scholar 

  14. Arregui M, Davis CJ, Arkush AM, Nagan RF. Laparoscopic cholecystectomy combined with endoscopic sphincterotomy and stone extraction or laparoscopic choledochoscopy and electrohydraulic lithotripsy for management of cholelithiasis with choledocholithiasis. Surg Endosc. 1992;6:10–5.

    Article  CAS  Google Scholar 

  15. Dasari BV, Tan CJ, Gurusany KS, Martin DJ, Kirk G, McKie L, et al. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. 2013;(9):CD003327.

    Google Scholar 

  16. Rhodes M, Sussman L, Cohen L, Lewis MP. Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet. 1998;351:159–61.

    Article  CAS  Google Scholar 

  17. Petelin J. Surgical management of common bile duct stones. Gastrointest Endosc. 2002;56(6):S183–9.

    Article  Google Scholar 

  18. Petelin JB. Laparoscopic common bile duct exploration—lessons learned from >12 years’ experience. Surg Endosc. 2003;17:1705–15.

    Article  CAS  Google Scholar 

  19. Phillips EH. Laparoscopic transcystic duct common bile duct exploration—outcome and costs. Surg Endosc. 1995;9:1240–2.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Surgix™ Minimally Invasive Surgery Institute, Shawnee Mission, Kansas, 66204, USA

    Joseph B. Petelin MD, FACS

  2. Department of Surgery, Shawnee Mission Medical Center, Shawnee, KS, USA

    Joseph B. Petelin MD, FACS

  3. Department of General Surgery, UnityPoint Clinic Surgery, Des Moines, IA, USA

    Timothy Mayfield MD

Authors
  1. Joseph B. Petelin MD, FACS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Timothy Mayfield MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Dartmouth College, Geisel School of Med, Hanover, New Hampshire, USA

    B. Fernando Santos

  2. Northwestern University, Chicago, Illinois, USA

    Nathaniel Soper

Electronic Supplementary Material

Transcystic bile duct exploration (MP4 395361 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Petelin, J.B., Mayfield, T. (2018). Laparoscopic Transcystic Common Bile Duct Exploration. In: Santos, B., Soper, N. (eds) Choledocholithiasis . Springer, Cham. https://doi.org/10.1007/978-3-319-74503-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74503-9_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74502-2

  • Online ISBN: 978-3-319-74503-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation