Skip to main content
SpringerLink
Log in

Common Bile Duct Exploration via Laparoscopic Choledochotomy

  • Chapter
The SAGES Manual

Abstract

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.

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

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected References

  • Berci G, Cuschieri A. Bile Ducts and Bile Duct Stones. Philadelphia: WB Saunders, 1997.

    Google Scholar 

  • Cuschieri A, Croce E, Faggioni A, et al. EAES ductal stone study: preliminary findings of multi-centre prospective randomized trial comparing two staged vs single-stage management. Surg Endosc 1996; 10:1130–1135.

    Article  PubMed  CAS  Google Scholar 

  • Fielding GA, O’Rouke NA. Laparoscopic common bile duct exploration. Aust NZ J Surg 1993;63:113–115.

    Article  CAS  Google Scholar 

  • Hensman C, Crosthwaite G, Cuschieri A. Transcystic biliary decompression after direct laparoscopic exploration of the common bile duct. Surg Endosc 1997;11:1106–1110.

    Article  PubMed  CAS  Google Scholar 

  • Holdsworth RJ, Sadek SA, Ambikar S, Cuschieri A. Dynamics of bile flow through the choledochal sphincter following exploration of the common bile duct. World J Surg 1989;13:300–304.

    Article  PubMed  CAS  Google Scholar 

  • Lezoche E, Paganini AM. Single-stage laparoscopic treatment of gallstones and common duct stones in 120 unselected consecutive patients. Surg Endosc 1995;9:1070–1075.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Sir Alfred Cuschieri M.D., Ch.M., F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chris Kimber M.B.B.S., F.R.A.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Iowa Hospitals and Clinic, 200 Hawkins Drive, 1516 JCP, Iowa City, IA, 52242-1086, USA

    Carol E. H. Scott-Conner M.D., Ph.D.

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Society of American Gastrointestinal Endoscopic Surgeons

About this chapter

Cite this chapter

Cuschieri, A., Kimber, C. (1999). Common Bile Duct Exploration via Laparoscopic Choledochotomy. In: Scott-Conner, C.E.H. (eds) The SAGES Manual. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-88454-2_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-88454-2_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66330-0

  • Online ISBN: 978-3-642-88454-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation