Laparoscopic Transcystic Common Bile Duct Exploration


Laparoscopic Transcystic Common Bile Duct Exploration

presented by Ezra N Teitelbaum, MD, at the SAGES 2014 Meeting; Panel – Concurrent Session SS2 V011

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

Points of interest:
MRCP–36 sec
meniscus sign–2:16
choledocoscope view–3:08
completion cholangiogram–5:30

Keyword(s): 5 Fr open tipped cholangiogram catheter, alk phos, ampulla, biliary dilatation, bilirubin, brisk flow of contrast, cholangiogram, choledocholithiasis, clear, closed position, common duct, completion cholangiogram, confirm patency, consented, continuous irrigation, critical view of safety, cystic artery, cysticductotomy, debris, dilating balloon, discharged, dissection, disslodged, distal, distal CBD stone, distend, divided with clips, duct gallbladder junction, ductal system, duodenum, endoscopically, ER, final image, flexible choledocoscope, fluroscopic guidance, free flow distally, gallbladder sludge, good flow of contrast, guidewire, IOC, lack of duodenal filling, lap chole, laparoscopic transcystic CBD exploration, ligated, ligating suture loop, liver bed, Marilyn grasper, meniscus sign, mildly elevated LFTs, milked retrograde, MRCP, N&V, non-dilated CBD, normal vitals, Olsen clamp, open Roux-en-Y gastric bypass, over the wire, painless, particulate matter, POD, preampullary CBD stone, preserve cystic duct length, prior dilation, resistance, RUQ, scope working channel, stone extraction, tenderness, Triangle of Calot, U/S, upper midline incision, weight loss, wire basket, withdrawn in open position

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