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Laparoscopic Management of Difficult Common Bile Duct Stones

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Laparoscopic Surgery of the Abdomen

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Conclusion

Most common bile duct stones may be treated laparoscopically through a transcystic common bile duct exploration. If common duct stones are large in size or number, a laparoscopic choledochotomy may be more effective. In centers where the technology is available, intracorporeal and extracorporeal lithotripsy provide a valuable means of treating stones that are severely impacted or beyond the reach of the endoscope. If such devices are unavailable, pharmacological or mechanical dilatation of the ampulla or transampullary instrumentation may be helpful.

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Authors
  1. Daniel M. Herron
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Editor information

Editors and Affiliations

  1. Department of Surgery, Medical College of Georgia, Augusta, GA, 30912, USA

    Bruce V. MacFadyen Jr. MD (Professor) (Professor)

  2. General Surgery, Medical College of Georgia, Augusta, GA, 30912, USA

    Bruce V. MacFadyen Jr. MD (Professor) (Professor)

  3. St. Vincent’s Hospital and Health Center, Indianapolis, IN, 46260, USA

    Maurice E. Arregui MD (Director of Fellowship in Advanced Laparoscopy and Endoscopy and Ultrasound) (Director of Fellowship in Advanced Laparoscopy and Endoscopy and Ultrasound)

  4. Department of Surgery, Duke University Medical Center, Durham, NC, 27710, USA

    Steve Eubanks MD (Associate Professor) (Associate Professor)

  5. Duke University Medical Center, Durham, NC, 27710, USA

    Steve Eubanks MD (Associate Professor) (Associate Professor)

  6. Centennial Medical Center, Nashville, TN, 37203, USA

    Douglas O. Olsen MD (Attending Surgeon) (Attending Surgeon)

  7. Department of Surgery, University of Southern California Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA

    Jeffrey H. Peters MD (Professor) (Professor)

  8. General Surgery, University of Southern California Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA

    Jeffrey H. Peters MD (Professor) (Professor)

  9. Department of Surgery, Section of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA

    Nathaniel J. Soper MD (Professor) (Professor)

  10. Oregon Health & Sciences University, Portland, OR, 97227, USA

    Lee L. Swanström MD (Clinical Professor of Surgery) (Clinical Professor of Surgery)

  11. Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR, 97227, USA

    Lee L. Swanström MD (Clinical Professor of Surgery) (Clinical Professor of Surgery)

  12. Department of Colorectal Surgery, Weston, FL, 33331, USA

    Steven D. Wexner MD (Chairman) (Chairman)

  13. Cleveland Clinic Florida, Weston, FL, 33331, USA

    Steven D. Wexner MD (Chairman) (Chairman)

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© 2004 Springer-Verlag New York, Inc.

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Herron, D.M. (2004). Laparoscopic Management of Difficult Common Bile Duct Stones. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_23

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  • DOI: https://doi.org/10.1007/0-387-21780-0_23

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-98468-1

  • Online ISBN: 978-0-387-21780-2

  • eBook Packages: Springer Book Archive

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