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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Updated: Jul 2, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Laparoscopic T-tube choledochotomy for biliary lithiasis.

Denzil Garteiz Martínez¹, Alejandro Weber Sánchez, María Elena López Acosta

¹Surgery Department, Angeles Lomas Hospital, Mexico. denzilgarteiz@yahoo.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|September 4, 2008

Summary

T-tube choledochotomy for bile duct exploration can lead to severe complications like biliary peritonitis. Minimally invasive laparoscopic and endoscopic techniques offer safer alternatives for choledocholithiasis treatment.

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Last Updated: Jul 2, 2026

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Area of Science:

Gastroenterology
Surgical Innovation
Hepatobiliary Surgery

Background:

T-tube choledochotomy is a traditional method for common bile duct exploration.
Complications such as bile leaks, biliary peritonitis, and strictures are associated with T-tube placement and removal.

Observation:

A case study of a 31-year-old male patient who experienced biliary peritonitis and septic shock post-T-tube removal is presented.
This case highlights the potentially underestimated severity of T-tube related complications.

Findings:

T-tube related complications may occur more frequently and lead to higher morbidity and mortality compared to less invasive procedures.
Advances in laparoscopic and endoscopic techniques offer alternative approaches to managing choledocholithiasis.

Implications:

Surgeons should be aware of the significant risks associated with T-tube choledochotomy.
Laparoscopic and endoscopic methods should be considered to avoid T-tube related complications and improve patient outcomes.