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Risks of Having an Intraoperative Cholangiogram

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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...

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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,...

Laparoscopic Trans-Choledochotomy CBD Exploration...

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Surgical video case: treatment of choledocholithiasis after Roux-en-Y gastric bypass (RYGB) is a therapeutic challenge given the altered anatomy. To overcome this technical difficulty, different modified...

Impacted Minor Papilla Stone

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Clinical video case: a 37 years old came with recurrent episodes of pancreatitis. CT-Images showed multiple parenchymal calcifications at head & uncinate process with a calcification on medial wall...

Brown Oval CBD Stone Extraction

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Large brown oval CBD stone extraction. Performed by Ahmad Hormati Shahid Beheshti hospital, Qom, Iran.

Your Test For Patency Of The Cystic Duct And...

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Surgical video case: your test for patency of the cystic duct and CBD may be smooth and easy like this.

To Apply Your Clip or Ligature Snugged with CBD...

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Video case: 11 yrs old boy with symptomatic gallstones without haemolytic diseases. On doing lap chole is it better to apply your clip or ligature snugged with CBD or to leave a short cystic duct stump?...

Biliary Stent Removal

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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...

Type IVa Choledochal Cyst

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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...

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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.