Transductal CBD Exploration


Presented by Edward Phillips, MD at the SAGES 2014 Meeting; CBD Stones Post Graduate Course

overview–33 sec
hx: tx of biliary disease–52 sec
tx of choledocholithiasis–2:30
state of the bile duct:1900’s–4:38
challenge of bile duct stones–5:47
minimally invasiv

Keyword(s): 12 atmospheres of pressure balloons, 2-stage clearance, 2.4 mm working channel, 25G Butterfly needle, 5 mm suction catheter, abdominal wall, abdominal wall abscess, abdominal wall boil, absorbable suture, age, ampullae, ampullary cx, ampullary drainage, anesthesia, Annals of Surgery, anomaly, antisepsis, Archives of Surgery, bag, balloon catheters, BII, bile duct calculi, bile duct surgery, bile leak, bile stents, biliary cutaneous fistulae, biliary disease, biliary stent, biliary tract surgery, blind, Brisbane, Australia, carbolic spray, CBD stones, CBDS, challenges, cholangiogram, cholangiography, cholangitis, cholecystectomy, cholecystography, cholecystostomy, choledocho-duodenostomy, choledocholithiasis, choledochoscopy, choledochotomy, choledocotomy, clamp, clinical findings, Cochrane Database of Systematic Reviews, Cochrane meta-analysis, common duct surgery, comparison, contained GB perf, cystic artery, dilate, dilators, double balloon enteroscopy, drainage procedure, duodenum, dx, efficiency, elderly, electrohydraulic lithotripser, electrohydraulic lithotripsy, endoscopic tx, endpoints, equipment, ERCP, ES, exclusion criteria, fistula, fistulae, flexible choledochoscopy, fluoro, flush, Fogarty catheter, fundus, gallbladder, gallbladder disease, gastroenterologists, GB, GB in situ, GI surgery, guidewire, headlight, hilum, hospital mortality, hot gallbladder, hx, ICU, imaging innovations, impacted stone, incidence, intention to treat, internal fistulae, interventional radiologist, intraabdominal, irrigation, J wire stent, Karl Storz, lancing, lap choledochotomy, laparoscopic era, laser, LC gastric bypass, LCBDE, learning curve, lithotripsy, liver, liver bed, liver transplant surgeons, long-term outcome, LOS, M&M, methods, milk, minimally invasive biliary surgery, Mirizzis syndrome, mirror, MIS, modern OR, mortality, mucosa, NEJM, New England Bulletin, office, Olsen clamp, op time, open CBDE, open chole, operative cholangiography, outcomes, pancreatic cx, pancreatitis, perinephric abscess, permanent exposure, permanent suture, PG course, plain film, porta hepatis, postop ES, Potts scissors, preop dx, pressure device, protocol, radially dilating balloon catheters, radiopaque marker, randomized trial, RCT, refer, reop rate, results, retained stone, rigid choledochoscope, RNY, robotic SILS, Roux limb, s/p, self-cured, sepsis, stay sutures, stent, stone formation, Sugura basket, surgical assistant, surgical mortality, surgical revolution, surgical tx, T-tube, tactile sensation, techniques, technology, towel clamp, transcystic CBDE, transcystic clearance, transductal CBDE, transverse transection technique, trocar, ureteroscope, urologists, US, wire basket, working ports, wound

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