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Updated: Jan 26, 2026
05:36
Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
656
Novel Technique for Laparoscopic Common Bile Duct Exploration Using Endovascular Instrumentation
Daniel Copeland1, Elizabeth E Blears2, Zhihao Zhu3
1Surgery, Midland Surgical Associates, Midland, USA.
Cureus
|April 24, 2019
Summary
This study presents a novel, minimally invasive technique for common bile duct (CBD) exploration during cholecystectomy. Using flexible endovascular tools reduces the risk of CBD damage, offering a safer treatment for gallstones.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Choledocholithiasis treatment often involves multiple steps and can pose risks.
- Traditional common bile duct (CBD) exploration during cholecystectomy may use rigid instruments, increasing complication risks.
Observation:
- A 64-year-old male presented with symptoms indicative of cholecystitis and cholelithiasis.
- Intraoperative cholangiogram confirmed likely choledocholithiasis during gallbladder removal.
Findings:
- A trans-cystic approach utilizing flexible endovascular equipment enabled safe CBD exploration.
- Complete stone removal was achieved with minimal tension on bile duct structures.
Implications:
- Endovascular instruments offer a gentler, more durable alternative for CBD exploration.
- This technique provides a safe and definitive treatment for choledocholithiasis integrated with cholecystectomy.
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