Laparoscopic Transcystic Common Bile Duct Exploration

  • Joseph B. Petelin
  • Timothy Mayfield


Laparoscopic transcystic duct approaches to the treatment of common bile duct (CBD) stones were introduced in 1989. A wide variety of techniques have been developed since that time. While this approach is not applicable to all patients with CBD stones, it is highly successful (>90% clearance rates) in a large percentage of them when employed by well-trained biliary tract surgeons. Many of the techniques are not that difficult to master, and many of them do not require expensive choledochoscopic equipment. This chapter focuses on a comprehensive approach to choledocholithiasis while emphasizing the least invasive techniques that can be performed through the cystic duct.


Transcystic Cystic duct Common bile duct stones Choledocholithiasis Basket capture Choledochoscope Choledochotomy 

Supplementary material

Video 6.1

Transcystic bile duct exploration (MP4 395361 kb)


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Joseph B. Petelin
    • 1
    • 2
  • Timothy Mayfield
    • 3
  1. 1.Surgix™ Minimally Invasive Surgery Institute, Shawnee MissionKansasUSA
  2. 2.Department of SurgeryShawnee Mission Medical CenterShawneeUSA
  3. 3.Department of General SurgeryUnityPoint Clinic SurgeryDes MoinesUSA

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