Laparoscopic laser cholecystectomy and choledocholithiasis

• DOI: 10.1007/bf02336589
• Publication Date: 2006-03-15T06:08:09Z
• Authors: Eddie J. Reddick; Douglas Olsen; William Alexander; Allan Bailey; David Baird; Neil Price; Ron Pruitt
• Keywords: Bile Duct Diseases

The management of common bile duct stones during laparoscopic laser cholecystectomy (LLC) is uncertain. Open common bile duct exploration is the least desirable option since it defeats the purpose of LLC. Endoscopic retrograde cholangiopancreatography (ERCP) with papillotomy has become the procedure of choice since it has a high rate of success and results in minimal morbidity. Intraoperative techniques using balloon catheters and the flexible choledochoscope via the cystic duct may obviate the need for ERCP in selected cases.