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Updated: Aug 19, 2025
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Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
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Robot-Assisted Common Bile Duct Exploration in Trinidad & Tobago
Shamir O Cawich1, Richard Spence2, Ramdas Senasi3
1Surgery, Port of Spain General Hospital, St. Augustine, TTO.
Cureus
|December 5, 2022
Summary
Laparoscopic common bile duct exploration for gallstones is safe and feasible, even in the Caribbean. A robotic-assisted approach demonstrated successful stone extraction, overcoming perceived difficulties with laparoscopic instruments.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Laparoscopic common bile duct exploration (LCBDE) is a viable treatment for choledocholithiasis.
- Caribbean surgical practice shows reluctance towards LCBDE due to perceived difficulty and increased availability of ERCP.
- Choledocholithiasis management requires effective and accessible solutions.
Observation:
- A case report details laparoscopic common bile duct exploration in the Caribbean.
- The procedure utilized the FreeHand® robot to assist in stone extraction.
- This addresses the perceived challenges of laparoscopic instrument handling in duct exploration.
Findings:
- Robotic-assisted laparoscopic common bile duct exploration proved feasible and safe in the Caribbean setting.
- Successful extraction of common bile duct stones was achieved.
- The case demonstrates a practical application of advanced laparoscopic technology.
Implications:
- This case suggests that robotic assistance can enhance the feasibility and safety of LCBDE in resource-limited or less experienced environments.
- It may encourage wider adoption of LCBDE in the Caribbean, improving patient outcomes for choledocholithiasis.
- Further studies could explore the broader utility of robotic assistance in laparoscopic biliary surgery in diverse settings.
