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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

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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Related Experiment Video

Updated: Jun 24, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

Laparoscopic common bile duct exploration using a rigid nephroscope.

S Sarkar1, S Sadhu, T Jahangir

  • 1Department of General Surgery, Rabindranath Tagore International Institute of Cardiac Sciences, 124, Mukundapur, E. M. Bypass, Kolkata 700099, India.

The British Journal of Surgery
|March 14, 2009
PubMed
Summary
This summary is machine-generated.

A rigid nephroscope enables laparoscopic bile duct exploration for large stones. This technique is effective for clearing bile duct stones during laparoscopic procedures.

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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
07:36

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

Related Experiment Videos

Last Updated: Jun 24, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
07:36

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Endoscopic Procedures

Background:

  • Laparoscopic bile duct exploration and cholecystectomy are standard for cholelithiasis and choledocholithiasis.
  • Large impacted bile duct stones pose a challenge for laparoscopic extraction.
  • A rigid nephroscope was investigated for its suitability in extracting large bile duct stones.

Purpose of the Study:

  • To explore the feasibility of laparoscopic bile duct clearance using a rigid nephroscope.
  • To assess the efficacy of rigid nephroscopy for large impacted bile duct stones.

Main Methods:

  • Prospective study of 18 patients with large bile duct stones (bile duct > 8 mm).
  • A custom 9-mm port was used for rigid nephroscope insertion.
  • Rigid graspers and lithotripters were utilized through the nephroscope for stone removal.

Main Results:

  • Successful nephroscope-guided bile duct exploration in 18 patients.
  • Most stones removed with graspers; lithotripter used in five cases.
  • Mean hospital stay was 6 days; two patients needed further endoscopic retrograde cholangiopancreaticography.

Conclusions:

  • The rigid nephroscope is a valuable tool for laparoscopic bile duct exploration.
  • This technique is particularly effective for managing large and impacted bile duct stones.