Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic common bile duct exploration: practical application

C M Ferguson1

  • 1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.

Archives of Surgery (Chicago, Ill. : 1960)
|May 23, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Standardised survey method for identifying catchment risks to water quality.

Journal of water and health·2016
Same author

Reduced response of human meniscal cells to Osteogenic Protein 1 during osteoarthritis and pro-inflammatory stimulation.

Osteoarthritis and cartilage·2016
Same author

Osteoarthritic changes in vervet monkey knees correlate with meniscus degradation and increased matrix metalloproteinase and cytokine secretion.

Osteoarthritis and cartilage·2015
Same author

Pro-inflammatory stimulation of meniscus cells increases production of matrix metalloproteinases and additional catabolic factors involved in osteoarthritis pathogenesis.

Osteoarthritis and cartilage·2013
Same author

Biosafety testing of genetically modified ryegrass (Lolium perenne) using a model for the optimum selection of test invertebrates.

Environmental entomology·2013
Same author

Histopathology of naturally occurring and surgically induced osteoarthritis in mice.

Osteoarthritis and cartilage·2012
Same journal

The White Test: A New Dye Test for Intraoperative Detection of Bile Leakage During Major Liver Resection-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017
Same journal

Use of Vascular Clamping in Hepatic Surgery: Lessons Learned From 1260 Liver Resections-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017
Same journal

Randomized Clinical Trial of Small-Incision and Laparoscopic Cholecystectomy in Patients With Symptomatic Cholecystolithiasis: Primary and Clinical Outcomes-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017
Same journal

Liver Resection With a New Multiprobe Bipolar Radiofrequency Device-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017
Same journal

Porcine and Bovine Surgical Products: Jewish, Muslim, and Hindu Perspectives-Invited Critique.

Archives of surgery (Chicago, Ill. : 1960)·2017
Same journal

Neuroendocrine Liver Metastasis: Transplant as Part of Multimodality Liver-Directed Therapy-Reply.

Archives of surgery (Chicago, Ill. : 1960)·2016
See all related articles

Laparoscopic common bile duct exploration is highly effective for managing common duct stones in unselected patients. Choledochotomy with choledochoscopy offers the highest success rate for this procedure.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Minimally Invasive Surgery

Background:

  • Symptomatic cholelithiasis often necessitates surgical intervention.
  • Common bile duct stones (choledocholithiasis) present a significant management challenge.
  • Laparoscopic approaches are increasingly utilized for biliary tract procedures.

Purpose of the Study:

  • To assess the efficacy of laparoscopic common bile duct exploration (LCBDE) in a broad patient population.
  • To determine the success rates of different LCBDE techniques.

Main Methods:

  • A consecutive series of 302 patients with symptomatic cholelithiasis were analyzed over a 5-year period.
  • Procedures included laparoscopic cholecystectomy, cholangiography, and common bile duct exploration.

Related Experiment Videos

  • Various laparoscopic techniques were employed for stone removal.

    • Main Results:

    • Laparoscopic cholecystectomy was successful in 280 patients.
    • Laparoscopic common bile duct exploration achieved an 80% success rate.
    • Choledochotomy with choledochoscopy demonstrated a 100% success rate in the 4 attempted cases.

    Conclusions:

    • Laparoscopic common bile duct exploration is a highly successful treatment for common duct stones in unselected patients.
    • Choledochotomy combined with choledochoscopy is the preferred method for laparoscopic common bile duct exploration.