Primary Closure of the CBD Over an Antegrade Stent After LCBDE

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3 months ago
General Surgery

Case description

Common bile duct exploration is an important surgical intervention when endoscopic retrograde cholangio-pancreatography fails. The main reasons for using T-tube drainage after common bile duct exploration are post-operative drainage of the bile duct and visualisation and extraction of retained bile duct stones. In our experience, a single stage laparoscopic treatment of cholelithiasis with choledocholithiasis is a safe, viable and cost-effective option. Closure of the CBD over an antegrade stent is a feasible option but requires advanced skills in minimal access surgical techniques, especially endosuturing. The procedure may be performed safely in expert hands without mortality and with negligible morbidity.


tags: Primary closure of the CBD Common Bile Duct Exploration Closure of the CBD over an antegrade stent LCBDE laparoscopic common bille duct exploration surgical technique surgical training Antegrade Stent eLearning surgery surgical education

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