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01-06-2012 | Review Article

Management of Common Bile Duct Stones in the Laparoscopic Era

Authors: A. Sharma, P. Dahiya, R. Khullar, V. Soni, M. Baijal, P. K. Chowbey

Published in: Indian Journal of Surgery | Issue 3/2012

Abstract

There is no consensus regarding the ideal management of concurrent gallbladder and common bile duct (CBD) stones. Currently the treatment protocol involves most commonly a sequential approach consisting of endoscopic sphincterotomy followed by laparoscopic cholecystectomy or a single stage laparoscopic procedure, including cholecystectomy and exploration of the CBD. For this article literature search was performed using online search engines, Google, Pubmed, the online Springer link library and the Cochrane Database Systematic Review. Review articles, prospective and retrospective studies which detailed or compared the various treatment strategies for CBD stones were selected and analyzed. This review article aims to provide an insight into the optimal management of CBD stones in different clinical scenarios. Endoscopic sphincterotomy has inherent morbidity and complications like CBD stone recurrence whereas laparoscopic CBD exploration demands considerable expertise which is available only at specialized centres. The clinical presentation of the patient, number of stones, size of CBD, available resources and technical expertise at hand are an important consideration for the ideal management in different scenarios.

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Title: Management of Common Bile Duct Stones in the Laparoscopic Era
Authors: A. Sharma
P. Dahiya
R. Khullar
V. Soni
M. Baijal
P. K. Chowbey
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: Indian Journal of Surgery / Issue 3/2012
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-012-0593-6

At a glance: The STEP trials

Springer Medicine

Management of Common Bile Duct Stones in the Laparoscopic Era

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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