Laparoscopic common bile duct exploration
Autor: | John M. Fitzpatrick, Thomas F. Gorey, Michael J. Kerin, Noel N. Williams, K. J. Cronin |
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Rok vydání: | 1992 |
Předmět: |
medicine.medical_specialty
Common bile duct exploration medicine.diagnostic_test business.industry General surgery Open surgery Gallbladder disease Dormia basket General Medicine Explorative laparotomy Gallstones medicine.disease Cholangiography medicine.anatomical_structure medicine Flexible choledochoscope Cystic duct Humans Cholecystectomy Female Laparoscopy business Aged |
Zdroj: | Irish journal of medical science. 161(1) |
ISSN: | 0021-1265 |
Popis: | Laparoscopic cholecystectomy is now the standard approach to gallbladder disease. While laparoscopic cholecystectomy offers many advantages over the conventional laparotomy procedure one of its drawbacks is that a synchronous common bile duct exploration, for so long a cornerstone of management of choledocholithiasis, is not yet widely practised laparoscopically. Endoscopic sphincterotomy or open surgery, with their attendant hazards and morbidity, remain the most common approaches. A flexible choledochoscope with an operating channel may in future facilitate laparoscopic management of choledocholithiasis but as yet this is not widely available. We report the removal of a common duct stone by dormia basket extraction through the cystic duct at laparoscopic cholecystectomy. |
Databáze: | OpenAIRE |
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