Comprehensive Surgical Management

  • B. Fernando Santos
  • Nathaniel Soper

Table of contents

  1. Front Matter
    Pages i-xv
  2. Historical Perspective of Benign Gallbladder and Biliary Disease

  3. Preoperative Evaluation

    1. Front Matter
      Pages 29-29
    2. Arslan Pannu, Ahmad Mirza
      Pages 49-65
  4. Operative Techniques

    1. Front Matter
      Pages 67-67
    2. Matthew B. Bloom, Edward H. Phillips
      Pages 69-83
    3. Joseph B. Petelin, Timothy Mayfield
      Pages 105-126
    4. Miguel A. Hernández, B. Fernando Santos, Morris E. Franklin Jr
      Pages 127-143
    5. Vimal K. Narula, Mazen R. Al-Mansour
      Pages 159-176
    6. David W. Rattner
      Pages 177-185
    7. Lucio Lucas Pereira, Horacio J. Asbun
      Pages 187-196
    8. Varun Kapur, Victor Sandoval, Jeffrey M. Marks
      Pages 197-215
    9. Robert D. Fanelli, Todd H. Baron
      Pages 217-233
    10. Thadeus L. Trus, B. Fernando Santos
      Pages 235-242
    11. Frank J. Brennan
      Pages 243-260
  5. Institutional Adoption of Laparoscopic Common Bile Duct Exploration Techniques and Training

    1. Front Matter
      Pages 261-261
    2. Harry C. Sax, Brian Weinberg
      Pages 273-278
  6. Back Matter
    Pages 279-283

About this book


This volume addresses the current lack of knowledge of many general surgeons and trainees in the comprehensive management of patients with choledocholithiasis, with an emphasis on how the surgeon can provide single-stage management for the majority of patients.  It begins with a historical perspective on surgical techniques for laparoscopic common bile duct exploration (LCBDE) and reviews the knowledge and experience gained during the “open” era.  Subsequent chapters cover preoperative evaluation, decision-making, and operative management, including intraoperative cholangiography, intraoperative ultrasound, laparoscopic and open common bile duct exploration, laparoscopic placement of biliary stents and other adjuncts, and laparoscopic bilio-enteric bypass. The volume also provides the reader with material on the full spectrum of options including chapters on endoscopic retrograde cholangiopancreatography and percutaneous approaches to the biliary tree.  The chapters on individual procedures emphasize the technical aspects of the procedures, and include rich visual resources to guide the reader (illustrations, photographs, and videos to demonstrate typical cases and also challenging cases), as well as their outcomes and complication management.  Finally, there is a discussion of how to identify and overcome logistical and institutional barriers to the adoption of LCBDE, and how simulation may be used to help teach the procedure.

Choledocholithiasis: Comprehensive Surgical Management will be of great value and utility to General Surgeons, Hepatobiliary Surgeons, Surgical Residents and Fellows, Endoscopists, and Interventional Radiologists.


cholangiography CBDE ERCP gallstone pancreatitis biliary colic Intraoperative Ultrasound Laparoscopic transcholedochal exploration bilioenteric bypass sphincterotomy LCBDE

Editors and affiliations

  • B. Fernando Santos
    • 1
  • Nathaniel Soper
    • 2
  1. 1.Dartmouth College, Geisel School of MedHanoverUSA
  2. 2.Northwestern UniversityChicagoUSA

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-74502-2
  • Online ISBN 978-3-319-74503-9
  • Buy this book on publisher's site