Kerin M J, Williams N N, Cronin K J, Fitzpatrick J M, Gorey T F
Professorial Surgical Unit, Mater Misericordiae Hospital, Dublin.
Ir J Med Sci. 1992 Jan;161(1):1-2. doi: 10.1007/BF02984665.
Laparoscopic cholecystectomy is now the standard approach to gallbladder disease. While laparoscopic cholecystectomy offers many advantages over the conventional laparotomy procedure one of its drawbacks is that a synchronous common bile duct exploration, for so long a cornerstone of management of choledocholithiasis, is not yet widely practised laparoscopically. Endoscopic sphincterotomy or open surgery, with their attendant hazards and morbidity, remain the most common approaches. A flexible choledochoscope with an operating channel may in future facilitate laparoscopic management of choledocholithiasis but as yet this is not widely available. We report the removal of a common duct stone by dormia basket extraction through the cystic duct at laparoscopic cholecystectomy.
