Tips and Tricks for the Acute Care Surgeon to Perform Laparoscopic Transcystic Common Bile Duct Exploration
Dennis Kim, John M Ruddy
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.
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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