Laparoscopic management of duodenal perforation during endoscopic sphincterotomy for CBD gallstone
Epublication WebSurg.com, Nov 2010;10(11). URL: http://websurg.com/doi/vd01en3049
Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is commonly used in the treatment of common bile duct stones. It is widely regarded as a safe procedure, but the major complication rate approaches 10%. ERCP-related perforations occur in about 1% of patients. The objective of this film is to demonstrate how to perform the exploration of the abdominal cavity in relation to a duodenal perforation following an endoscopic retrograde common bile duct exploration because of suspected stone migration.