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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: Apr 12, 2026

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

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

Published on: May 2, 2025

Laparoscopic CBD exploration using a V-shaped choledochotomy.

Eun Young Kim¹, Soo Ho Lee¹, Jun Suh Lee¹

¹Department of Hepatobiliary and Pancreatic Surgery, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

|May 13, 2015

Summary

This summary is machine-generated.

This study introduces a new V-shaped choledochotomy technique for laparoscopic common bile duct exploration (LCBDE) to treat choledocholithiasis. The V-CBD method proved feasible and straightforward, offering a less invasive option for common bile duct stone removal.

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Area of Science:

Gastroenterology and Hepatobiliary Surgery

Background:

Choledocholithiasis, or common bile duct stones, is often treated with laparoscopic common bile duct exploration (LCBDE).
Conventional LCBDE presents technical challenges that limit its widespread application.
There is a need for improved, less invasive surgical techniques for managing common bile duct stones.

Purpose of the Study:

To introduce and evaluate a novel V-shaped choledochotomy (V-CBD) technique for LCBDE.
To assess the feasibility and effectiveness of the V-CBD technique in managing choledocholithiasis.
To overcome limitations associated with conventional LCBDE procedures.

Main Methods:

Ten patients underwent LCBDE using the V-CBD technique.
A V-shaped incision was made at the confluence of the cystic duct and common bile duct (CBD).
Choledochoscopy, stone retrieval baskets, Fogarty balloons, and saline irrigation were employed for stone clearance, followed by V-loc suture closure.

Main Results:

The V-CBD technique was successfully applied in all ten patients, with no conversions to open surgery.
All common bile duct stones were cleared, and no patients required T-tube insertion.
Mean operative time was 97.8 minutes, and mean hospital stay was 6.0 days, with one instance of postoperative pancreatitis.

Conclusions:

The V-CBD technique is a feasible and straightforward approach for LCBDE in treating choledocholithiasis.
This novel technique may be particularly beneficial for cases where the common bile duct is not dilated.
The V-CBD method offers a less invasive, single-stage management option for common bile duct stones.