Laparoscopic choledochoenterostomy

The modern biliary surgeon must deal with laparoscopic procedures as part of his or her daily routine. Almost all barriers to laparoscopic cholecystectomy have been erased, and more and more surgeons are approaching common bile duct problems from a new viewpoint. Laparoscopic common bile duct exploration is being advocated by many more surgeons than in the past. Bypass of the biliary tract for benign and malignant disease has always been the purvue of biliary tract surgeons, and the transition from open to laparoscopic techniques is an achievable goal and is primarily a function of imagination, planning, and the ability to suture.