Acute biliary pancreatitis, endoscopy, and laparoscopy
Related Experiment Video
Updated: Aug 17, 2026

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
F Borie1, A Fingerhut, B Millat
1Department of Visceral Surgery A, Hôpital Saint-Eloi, University Hospital Center Montpellier, Avenue Augustin Fliche 80, F-34295 Montpellier Cedex 5, France.
Abstract:
Current practices for diagnosis and treatment of common bile duct stones are not evidence-based. Acute biliary pancreatitis (ABP) is a specific situation in which endoscopic procedures are either overused or misused. Pancreatitis is a poor marker for choledocholithiasis. Prognostic systems are accurate to discern those patients with ABP who do not need aggressive procedures. Patients with a benign ABP do not need an endoscopic approach. Laparoscopic common bile duct exploration is an underrated treatment for patients with choledocholithiasis. Laparoscopic approach to infected necrotic collections and pseudocysts warrant further investigations.
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