Laparoscopic Bile Duct Exploration Technique

Common bile duct stone is a relatively frequent disorder with prevalence of 15 to 20% in patients gallstones. This also associated serious complications, including obstructive jaundice, acute suppurative cholangitis, and pancreatitis. Early diagnosis prompt treatment are the most important for managing CBD stones. Various approaches laparoscopic exploration plus primary closure commonly used best methods treat stone. We prefer not use T tube when performing exploration, instead, or biliary stents more suitable. present cases common that previously performed an ERCP cannot remove stone, so we solved using exploration. First, open removed graspers, case big Randall clamps Then choledochoscope performed. cholangiogram needed order check intrahepatic ducts. Finally, close absorbable 3-0 suture. In no previous papillotomy was performed, stent. With this technique variants, obtain good results less morbidity than tube.