Ideal choledochotomy in a young patient with multiple gallbladder and common bile duct stones
Epublication WebSurg.com, Dec 2012;12(12). URL: http://websurg.com/doi/vd01en3863
Laparoscopic Common Bile Duct (CBD) clearance for stones can be performed through the cystic duct or through a choledochotomy, the choice being mainly guided by the size of the CBD stone as well as the size of the cystic and common bile duct. In this young patient with an enlarged CBD and multiple large stones, we have opted for a choledochotomy assisted with intraoperative choledochoscopy. Direct closure of the choledochotomy was protected by an internal drainage, thanks to the repositionning of an endoscopic stent that was used during emergency ERCP biliary drainage.