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Stones in the common duct complicate minimal access management of cholelithiasis. Before the laparoscopic era, open common duct exploration at the time of cholecystectomy was the procedure of choice. In the current era, common duct stones may be managed endoscopically (by endoscopic retrograde cholangiopancreatography [ERCP]) or laparoscopically; ERCP management can occur before, after, or even during laparoscopic cholecystectomy. This chapter explores several alternatives and preferences. A slightly different scenario was discussed in Chapter 5, which discussed gallstone pancreatitis.

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Maurice, S.M., Maithel, S.K., Schneider, B.E., Cosgrove, J.M., Fullerton, J.K., Vitale, G.C. (2008). Cholelithiasis with Choledocholithiasis. In: Scott-Conner, C.E.H. (eds) The SAGES Manual of Strategic Decision Making. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76671-3_6

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  • DOI: https://doi.org/10.1007/978-0-387-76671-3_6

  • Publisher Name: Springer, New York, NY

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