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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

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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Related Experiment Video

Updated: Jul 22, 2026

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
07:36

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

Published on: February 10, 2023

Laparoscopic common bile duct exploration after failed endoscopic stone extraction

G Poole1, B Waldron, S M Shimi

  • 1Dept. of Surgery, Ninewells Hospital and Medical School, University of Dundee, United Kingdom.

Endoscopy
|November 14, 1997
PubMed
Summary

Laparoscopic common bile duct stone extraction is effective after failed endoscopic attempts. This minimally invasive approach offers high success rates and should be considered before open surgery.

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Last Updated: Jul 22, 2026

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
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Published on: February 10, 2023

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
04:02

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Biliary Tract Surgery

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is common for bile duct stones, often followed by laparoscopic cholecystectomy.
  • Failed ERCP for ductal stones typically leads to open surgery.
  • Laparoscopic approaches after failed ERCP are less commonly reported.

Purpose of the Study:

  • To evaluate the efficacy of laparoscopic common bile duct stone extraction in patients with prior failed endoscopic attempts.
  • To assess the safety and outcomes of this minimally invasive strategy.

Main Methods:

  • A retrospective review of 19 patients who underwent laparoscopic common bile duct stone extraction after unsuccessful ERCP.
  • Patients had a mean follow-up of 23 months.
  • Details of prior endoscopic attempts and surgical outcomes were analyzed.

Main Results:

  • Successful laparoscopic ductal stone clearance was achieved in 15 of 18 patients (83%).
  • Complete clearance in a single operation was achieved for all 18 patients.
  • Conversion to open surgery was required in 17% of cases, with 11% postoperative morbidity.

Conclusions:

  • Laparoscopic common bile duct stone clearance is a successful and safe option following failed endoscopic extraction.
  • This approach should be considered before resorting to open surgery.
  • Availability of laparoscopic biliary expertise is crucial for successful implementation.