title: Laparoscopic common bile duct exploration.
abstract: Laparoscopic cholecystectomy is now the standard approach to gallbladder disease. While laparoscopic cholecystectomy offers many advantages over the conventional laparotomy procedure one of its drawbacks is that a synchronous common bile duct exploration, for so long a cornerstone of management of choledocholithiasis, is not yet widely practised laparoscopically. Endoscopic sphincterotomy or open surgery, with their attendant hazards and morbidity, remain the most common approaches. A flexible choledochoscope with an operating channel may in future facilitate laparoscopic management of choledocholithiasis but as yet this is not widely available. We report the removal of a common duct stone by dormia basket extraction through the cystic duct at laparoscopic cholecystectomy.
authors.affiliation: Professorial Surgical Unit, Mater Misericordiae Hospital, Dublin.
authors.forename: M J
authors.initials: MJ
authors.lastname: Kerin
authors.forename: N N
authors.initials: NN
authors.lastname: Williams
authors.forename: K J
authors.initials: KJ
authors.lastname: Cronin
authors.forename: J M
authors.initials: JM
authors.lastname: Fitzpatrick
authors.forename: T F
authors.initials: TF
authors.lastname: Gorey
mesh_terms: D000368:Aged; D002758:Cholangiography; D002763:Cholecystectomy / Q000379:methods*; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*