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Common Bile Duct Exploration via Laparoscopic Choledochotomy

  • Alfred Cuschieri
  • Chris Kimber

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.

     

Keywords

Common Bile Duct Laparoscopic Cholecystectomy Cystic Duct Common Duct Common Bile Duct Exploration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Selected References

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