CBD
Laparoscopic Trans-Choledochotomy CBD Exploration...
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
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
Large brown oval CBD stone extraction. Performed by Ahmad Hormati Shahid Beheshti hospital, Qom, Iran.
Your Test For Patency Of The Cystic Duct And...
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...
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
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
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...
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...
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...
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
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?
Choledochoscopy
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...
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
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,...
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