CBD Exploration via Laparoscopic Choledochotomy
A. The folded T-tube is inserted into the choledochotomy. B. Ttube in place. The choledochotomy will be closed from above downward. The T-tube will exit from the lower end of the choledochotomy when the sutures are placed.
Fixation of the biliary decompresion cannula
Fixation of the biliary decompression cannula to the cystic duct stump by catgut Roeder knots.
Techniques for LCDE
Cholangiography in preparation for basket retrieval of common bile duct stones under fluoroscopic guidance. Note location of monitors, surgeon, and instruments.