Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Tips and Tricks for the Acute Care Surgeon to Perform Laparoscopic Transcystic Common Bile Duct Exploration

Dennis Kim, John M Ruddy

Keywords : Acute care surgery, Biliary, Choledocholithiasis, Laparoscopic cholecystectomy, Laparoscopic common bile duct exploration

Citation Information : Kim D, Ruddy JM. Tips and Tricks for the Acute Care Surgeon to Perform Laparoscopic Transcystic Common Bile Duct Exploration. Panam J Trauma Crit Care Emerg Surg 2022; 11 (3):134-138.

DOI: 10.5005/jp-journals-10030-1405

License: CC BY-NC 4.0

Published Online: 31-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Management of emergency general surgery (EGS) patients who present with common bile duct (CBD) stones continues to evolve. Although a two-step approach involving duct clearance via pre- or postoperative endoscopic retrograde cholangiopancreatography (ERCP) combined with laparoscopic cholecystectomy (LC) has long been the accepted treatment strategy, recent advances in laparo-endoscopic techniques have made single-stage operative management of CBD stones a reality in a select group of EGS patients presenting with choledocholithiasis. In this review article, we outline several key tips and tricks, as well as pitfalls, for acute care surgeons to consider prior to or during the development and implementation of an institutional laparoscopic common bile duct exploration (LCBDE) program.

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