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

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

Published on: February 10, 2023

Improvised laparoscopic stone picker.

Akhilesh Kumar Agarwal¹, Nirjhar Bhattacharya, Anshu Agarwal

¹Clinical Tutor, Calcutta Medical College, Kolkata, India.

The Indian Journal of Surgery

|November 8, 2012

Summary

This summary is machine-generated.

This study introduces an improvised laparoscopic instrument for gallstone retrieval during cholecystectomy. The device efficiently recovers spilled gallstones, minimizing complications and intra-abdominal CO(2) loss.

Keywords:

Laparoscopic cholecystectomy Stone picker Stone spillage

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Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery
Surgical Instrumentation

Background:

Laparoscopic cholecystectomy is the standard treatment for gallstones.
Gallstone spillage during surgery can lead to complications.
Retrieving spilled stones is challenging and may cause injury.

Purpose of the Study:

To present an improvised laparoscopic instrument for gallstone retrieval.
To evaluate the efficacy and safety of the new instrument in managing spilled gallstones.

Main Methods:

Development of a novel laparoscopic hand instrument designed for gallstone retrieval.
Application of the instrument in over 50 laparoscopic cholecystectomy cases with spilled gallstones.

Main Results:

The improvised instrument successfully recovered intra-abdominal free and scattered gallstones.
The procedure resulted in minimal loss of intra-abdominal carbon dioxide gas (mean 0.1 Lts).

Conclusions:

The novel laparoscopic instrument offers a quick and easy solution for retrieving spilled gallstones.
This device can reduce complications associated with gallstone spillage during laparoscopic cholecystectomy.