Operative common bile duct exploration, performed in conjunction with cholecystectomy, has been considered the treatment of choice for choledocholithiasis in the presence of an intact gallbladder. With the advent of laparoscopic cholecystectomy, the management of common bile duct stones has been affected. In experienced hands, the laparoscopic common bile duct exploration is a potential option for managing stones within the biliary tree at the same time as laparoscopic cholecystectomy.
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