Laparoscopic management of bile duct stones

J. G. Hunter, N. J. Soper

Research output: Contribution to journalReview articlepeer-review

79 Scopus citations


Although it may seem that laparoscopic cholecystectomy has revolutionized the way we approach the patient with stones in the gallbladder and bile ducts, only a few rules have really changed. Fluoroscopic cholangiography, a requirement for radiologists and gastroenterologists performing percutaneous transhepatic cholangiography and ERCP, is slowly finding its way into the operating room. No longer is a 'palpable stone' a common indication for common bile duct exploration. Most importantly, it is not necessary to make an incision into the bile duct to remove the majority of bile duct stones. The transcystic approach will clear the duct in 85% to 90% of all patients, sparing them extra hospitalization, a T-tube, and the risk of creating a bile duct stricture during sutured closure of the choledochotomy.

Original languageEnglish (US)
Pages (from-to)1077-1097
Number of pages21
JournalSurgical Clinics of North America
Issue number5
StatePublished - 1992
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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