Laparoscopic common bile duct exploration

Autor: John M. Fitzpatrick, Thomas F. Gorey, Michael J. Kerin, Noel N. Williams, K. J. Cronin
Rok vydání: 1992
Předmět:
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