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Updated: Aug 18, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Laparoscopic pyloric exclusion after endoscopic retrograde cholangiopancreatography perforation
1Department of Thoratcic, Abdominal and Minimally Invasive Surgery, Saint Blasius General Hospital, Dendermonde 9200, Belgium. jacques_himpens@hotmail.com
Abstract:
We describe a laparoscopic technique of pyloric exclusion with gastroenterostomy and common bile duct T tube insertion for obvious perforation at endoscopic retrograde cholangiopancreatography with papillotomy. The patient was operated on immediately after diagnosis of the lesion. The postoperative sequellae were very comparable to those of elective laparoscopic common bile duct exploration. We believe this approach is interesting, especially in the current era of frequent litigation.
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