Мы используем файлы cookies, чтобы улучшить работу сайта. Продолжая просматривать наш сайт, вы соглашаетесь на использование файлов cookie.

Для просмотра видео войдите в систему или пройдите бесплатную регистрацию.

  • 4080
  • 2012-06-13

Laparoscopic transcystic clearance of the common bile duct (CBD) during three-trocar cholecystectomy

Epublication WebSurg.com, Jun 2012;12(06). URL:
Хотите задать вопрос автору? Авторизируйтесь или пройдите бесплатную регистрацию.
Common bile duct stones are found in approximately 16% of patients undergoing laparoscopic cholecystectomy. If the diagnosis is established during intraoperative cholangiography, the surgeon is confronted with a therapeutic dilemma, namely the choice between laparoscopic common bile duct (CBD) exploration, conversion to open surgery, or postoperative endoscopic sphincterotomy. Laparoscopic CBD exploration can be performed through the cystic duct or through a choledochotomy, the choice being mainly guided by the size of the CBD stone and the size of the cystic duct and common bile duct. In this patient with a large cystic duct, small stone and normal CBD size, we have opted for the transcystic extraction, using the Dormia basket under fluoroscopic guidance. The procedure was performed using a three-trocar approach and a new internal retraction device that suspends the gallbladder.