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Laparoscopic extraction of a CBD stone after failure of ERCP (duodenal perforation)

B Dallemagne, MD S Perretta, MD, PhD Gf Donatelli, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Sep 2009;09(09). URL: http://websurg.com/doi/vd01en2732

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  • 2009-09-04
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Laparoscopic common bile duct (CBD) exploration with stone extraction can be performed with high efficiency, minimal morbidity and without mortality. A trans-cystic approach is feasible in most patients, whereas choledochotomy should be restricted to large bile duct stones that cannot be extracted through the cystic duct. This video shows the laparoscopic treatment of a CBD stone in an 85-year-old female patient in whom two attempts at retrograde cholangiography with stone extraction were unsuccessful.