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Updated: Feb 19, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
Prevention of biliary leaks
1Department of Surgery, Northwestern University, 251 E Huron St, Galter 3-150, Chicago, IL 60611, USA. nsoper@nmh.org
Introduction:
Since the introduction of laparoscopic cholecystectomy more than two decades ago, the incidence of bile duct injury has remained greater than that established during the era of open cholecystectomy.
Discussion:
This article reviews the common causes of bile duct injury during laparoscopic cholecystectomy and makes recommendations that should help prevent these serious injuries from occurring.
Conclusions:
The incidence of bile duct injury during laparoscopic cholecystectomy, although greater than during open cholecystectomy, can be minimized using specific operative strategies and dissection principles.
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