Laparoscopic CBD exploration

Laparoscopic Common Bile Duct Exploration

The laparoscopic common bile duct exploration can be for stones removal from inside the biliary tree similar to laparoscopic cholecystectomy. Symptomatic gallbladder disease is treated by laparoscopic cholecystectomy (LC), and laparoscopic surgery is a proven surgery for the treatment of choledocholithiasis. Very few surgeons have expertise and perform laparoscopic procedures on the bile duct, as these operations are very difficult.

The procedure is to remove stones in the bile duct by laparoscopic techniques. When small stones enter into the bile duct from the gall bladder, it can cause blockage resulting into Jaundice and Pancreatitis. This is treated by removing the gallbladder.

While removing the gallbladder, if the stone is found in the bile duct, then it is removed by doing laparoscopic cholecystectomy using advanced laparoscopic techniques.

Advantages of Laparoscopic Surgery

Along with other advantages

Along with other advantages of laparoscopic surgery over open surgery, laparoscopic surgery provides less internal scarring. At ObesityLaprosurgery, Dr Apurva Vyas uses latest technology and advanced laparoscopic techniques to develop surgerys for pancreas, liver and bile duct.

Patients helps

This helps patients to get faster recovery, minimal blood loss due to smaller incision, and less changes of infection.

Common Bile Duct exploration

Laparoscopic Common Bile Duct exploration provides less debility, is cost effective, and early discharge of the patient.

Indications

  • Unusual intraoperative cholangiogram or sonogram
  • Evidence of the bile duct stones in the sonography
  •  
  • History of Pancreatitis
  • Common bile duct hindrance
  • Inexplicable elevated liver function test

Contraindications

Contraindications depend on low level of competency level shown by the surgeon for common bile duct exploration, any condition that would make the bile duct exploration hazardous, unstable condition of the patient, less trained surgeon or the lack of laparoscopic surgery competency level. The relative contraindication whether to take a particular approach to bile duct exploration where either a transcystic approach or choledochotomy may be preferred over each other.