Laparoscopic cholecystectomy and choledochoscopy for the treatment of cholelithiasis and choledocholithiasis

P. C. Smith, R. V. Clayman, N. J. Soper*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

A 33-year-old woman with symptomatic cholelithiasis underwent laparoscopic cholecystectomy. Preoperative evaluation did not suggest the presence of choledocholithiasis, but intraoperative cholangiography showed a totally obstructing stone in the distal common bile duct. Laparoscopically directed, transperitoneal choledochoscopy was performed by passing a 9.4 F flexible ureteroscope through the cystic duct into the distal common bile duct. A single calculus was visualized and removed with a basket. The patient was discharged the next day, returned to full activity within 1 week, and has done well in the subsequent postoperative interval. The management of incidentally discovered common bile duct stones during performance of laparoscopic cholecystectomy is discussed.

Original languageEnglish (US)
Pages (from-to)230-233
Number of pages4
JournalSurgery
Volume111
Issue number2
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Surgery

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