Surgical treatment for common bile duct stones -Focus on laparoscopic common bile duct exploration-

Abstract

Approaches for treating common bile duct stones are as follows: 1) Laparoscopic bile duct stone removal+cholecystectomy (single-stage), 2) Open cholecystectomy+choledocholithotomy (single-stage), 3) endoscopic stone removal+ (surgical) cholecystectomy (two-stage). And two-stage treatment is the most widely used. Although the number of cases is small, laparoscopic surgery is superior from the viewpoint of treatment efficiency and minimal invasiveness, and open surgery is fit for complicated or intractable cases.

The appropriate treatment should be selected from various options such as the approaches or instruments to be used. This paper describes the surgical treatment of bile duct stones, focusing on the single-stage procedure by laparoscopic surgery.