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Type IVa Choledochal Cyst

views: 306 comments: 2

The incidence of congenital choledochal cysts is 1/100,000 to 1/150,000, and the most widely accepted cause is an anomalous junction of the pancreatic duct and the common bile duct. According to our intraoperative...

Don't Apply your Distal Clip or Ligature if you...

views: 338 comments: 5

Surgical video case: don't apply your distal clip or ligature if you notice any gravel or mud coming out before flushing the CBD with saline if no choledochoscope is available.  

Milking the Cystic Duct to Remove Stones Then...

views: 576 comments: 2

Surgical video case: open the cystic duct and do milking to retrieve stones and test for its patency and the patency of the CBD if no choledochoscope is available.

LCBD Exploration, Use of Irrigation for Stone...

views: 615 comments: 0

Various methods were used for stone extraction either through the scope technique, direct access technique, or irrigation/suction technique. Assurance of CBD clearance of stones was done later using intra-operative...

Test for Patency of the Cystic Duct and CBD

views: 1017 comments: 3

Small stones, gravels, mud, or white bile if encountered on the division of the cystic duct, I do this maneuver. What's your opinion my dear professors? 


views: 2135 comments: 0

Choledocholithiasis is a common complication of cholecystolithiasis. Treatment is advisable to prevent further complications. Different methods have been used for the treatment of CBDS but the suitable...

Laparoscopic Common Bile Duct Exploration. Bleeding...

views: 6543 comments: 7

61-year-old female patient (BMI 28.6) with choledocholithiasis and previous history of cholecystectomy. She underwent 3 ERCPs and failed endoscopic clearance therefore a plastic stent was inserted. The...

Intraoperative Biliary Imaging

views: 1370 comments: 0

Presented by Brian R. Davis at the "Masters Biliary: Safe Cholecystectomy - An Overview of the SAGES Didactic Cholecystectomy Modules" session during the SAGES 2019 Annual Meeting in Baltimore,...

Laparoscopic Common Bile Duct Exploration via...

views: 3482 comments: 0

A nice video demonstrating exploration of the common bile duct via a choledochotomy and utilizing our standard, 3-mm instrumentation and 3-mm flexible choledochoscope. 

Laparoscopic CBD Exploration by the MIS Fellow...

views: 2425 comments: 0

This video demonstrates laparoscopic exploration of the common bile duct and intra-hepatic ducts by our Advanced MIS fellow. This was the fellow's first experience with laparoscopic common bile duct exploration.The...

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