Cholelithiasis with Choledocholithiasis
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.
KeywordsBile Duct Common Bile Duct Laparoscopic Cholecystectomy Common Bile Duct Stone Bile Duct Stone
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