Common Bile Duct Exploration via Laparoscopic Choledochotomy

  • Alfred Cuschieri
  • Chris Kimber


Laparoscopic common bile duct (CBD) exploration is performed when transcystic duct extraction is not appropriate or has failed. The current indications for laparoscopic direct CBD exploration are:
  1. 1.

    Failed transcystic extraction if CBD diameter is > 8 mm.

  2. 2.

    Large single or multiple stones (>1.0 cm), providing the load is not excessive (see below).

  3. 3.

    Unsuccessful attempts at endoscopic stone extraction for large/occluding stones.

  4. 4.

    Intrahepatic stones, which are inaccessible via a transcystic approach.



Common Bile Duct Laparoscopic Cholecystectomy Cystic Duct Common Duct Common Bile Duct Exploration 
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Selected References

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Copyright information

© Society of American Gastrointestinal Endoscopic Surgeons 1999

Authors and Affiliations

  • Alfred Cuschieri
  • Chris Kimber

There are no affiliations available

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