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Updated: Jul 13, 2026
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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
Stenting before laparoscopic common bile duct exploration: a helpful strategy.
T W Tan1, C J L Khor, S K Y Chang
1Department of Surgery, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.
Singapore Medical Journal
|July 28, 2007
Summary
A challenging common bile duct stone required a two-step approach. Laparoscopic common bile duct exploration successfully removed the stone after initial endoscopic retrograde cholangiopancreatography failed.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
Background:
- Common bile duct stones (choledocholithiasis) are a frequent clinical problem.
- Endoscopic retrograde cholangiopancreatography (ERCP) is a primary modality for stone removal.
Observation:
- A 43-year-old male patient presented with a difficult common bile duct stone.
- Initial ERCP allowed only stent placement, failing to clear the stone.
Findings:
- The patient subsequently underwent successful laparoscopic cholecystectomy.
- Laparoscopic common bile duct exploration (LCBDE) with primary closure after choledochotomy achieved stone clearance.
Implications:
- LCBDE is a viable and effective alternative for managing complex common bile duct stones.
- This case highlights the importance of considering alternative surgical approaches when endoscopic interventions are unsuccessful.
