Lap Cholecystectomy and Choledochtomy for Stones

This video shows laparoscopic cholecystectomy, choledochotomy, choledochoscopy, and push the CBD stone into the duodenum, primary closure of the CBD. The 43-year-old male patient was diagnosed with gallstones more than 1 month ago. He presented to the hospital with right upper quadrant pain radiating to the back, mild fever, yellow eyes, dark urine. Blood tests detected elevated liver enzymes, increased bilirubinemia. CT scan revealed enlarged gallbladder, thick wall, dilated intrahepatic bile duct, and common bile duct that was 13mm in size, a 6mm-stone at the distal CBD. The patient was diagnosed with acute cholecystitis and choledocholithiasis and underwent laparoscopic cholecystectomy and choledochotomy to remove the stone. The patient's condition was stable, and drain under the liver was removed on the 2nd postoperative day, discharged on the 4th postoperative day.