CBD
Mastering the Distal CBD, The 'Constrained-Bulb'...
Advanced ERCP technique: The "Constrained-Bulb" Push for Distal Stones. Ever struggled with stones "parked" right at the papilla during an EPLBD (Endoscopic Papillary Large Balloon...
Laparoscopic Common Bile Duct Exploration with...
Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is generally accepted as first line management for common bile duct (CBD) stones. CBD exploration, either by open or laparoscopic...
Laparoscopic Cholecystectomy
The author use anatomical considerations to describe his own technique for laparoscopic cholecystectomy with a minimum risk of common bile duct injury.
LNs Along the CBD
During laparoscopic cholecystectomy if you encountered LNs along the CBD, do you prefer to take a biopsy or not?
Antegrade Common Bile Duct (CBD) Stenting After...
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...
Mirizzi Syndrome Type I
Mirizzi syndrome is a rare complication of chronic gallstone disease. It happens when a large gallstone or cluster of stones gets stuck in the gallbladder or cystic duct. This causes swelling that can...
Don't Encroach Upon the CBD
I open the cystic duct logitudinally to retrieve impacted cystic duct stones. On applying my loop to secure the distal end of the cystic duct, it was distal to the distal end of the longitudinal opening...
Endoscopic Ampullectomy
Endoscopic video case: ampulloma with low grade dysplasia, EUS shows located adenoma of 10 mm. Endoscopic ampullectomy. Insertion of the pancreatic duct in the CBD, no pancreatic stent was needed. Pathology:...
Transluminal Correction Of The Duodenal Sphincter
Case report: This video shows basic aspects of minimally invasive endoluminal sphincter correction due to distal common bile duct (CBD) stenosis. The patient is a 67-year-old male, who did not succeed...
In Absent Cystic Duct, Short Cystic Duct, or...
In absent cystic duct, short cystic duct, or unclear cystic duct junction with the CBD, you can ligate the infundibulocystic junction more proximal towards the GB, to re-assess the cystic duct stump properly...
Distended GB and CBD with Varicosities
42 yrs old female presented with severe agonizing pain in the right hypochondrium with tender palpable GB. Typical presentation of acute cholecystitis. Because she was diabetic, I decided to operate upon...
Laparoscopic CBD Exploration After Failed ERCP:...
Laparoscopic common bile duct exploration (LCBDE) has been found to be a safe, efficient and cost-effective treatment for choledocholithiasis. Following LCBDE, the clearance may be ascertained by a cholangiogram...
Use of Stapling Device for Cystic Duct Closure...
Laparoscopic stapling devices have been applied in several operations, and they are reported to be a safe and feasible method of cystic duct closure. The division and clipping of the CBD have been widely...
Risks of Having an Intraoperative Cholangiogram
Some risks of having an intraoperative cholangiogram. Infection and bleeding. Inflammation of the pancreas (pancreatitis). Damage to the common bile duct. Allergic reaction to the contrast dye.
Treatment of Choledocolithiasis by Laparoscopic...
When common bile duct (CBD) stone removal by endoscopic procedure fails, CBD exploration is an alternative procedure. Laparoscopic common bile duct exploration (LCBDE) has been found to be a safe,...