Laparoscopic Transcystic Common Bile Duct Exploration

Ezra N Teitelbaum, MD, Bill R Luo, MD, Nathaniel J Soper, MD, Eric S Hungness, MD, Alex P Nagle, MD. Northwestern University Feinberg School of Medicine.

 This video shows a laparoscopic transcystic common bile duct exploration, performed for choledocholithiasis in a patient who had undergone a previous Roux-en-Y gastric bypass. The key steps of initial dissection to a “critical view of safety”, intraoperative cholangiogram, guide wire access, cystic duct balloon dilation, choledochoscope insertion and maneuvering, stone capture and extraction, and completion cholangiogram are shown and described.

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