After failure of repeated attempts to pass the guide wire across the stricture during ERCP, patient was managed with laparotomy in which removal of T-tube followed by closure of choledochotomy
A case of retroperitoneal chylous cyst developed after cholecystectomy and choledochotomy
Primary Closure and Rate of Bile Leak following Laparoscopic Common Bile Duct Exploration via Choledochotomy
Those with common bile duct stoned had cholecystectomy, choledochotomy
, extraction of stones with Desjardin forceps, irrigation of the extra-hepatic biliary tree with sterile saline, and this was completed with insertion of a T-tube.
If the common bile duct is large enough, laparoscopic removal of common bile duct stones can be accomplished by direct laparoscopic choledochotomy
Traditionally, CBD stones are retrieved with Desjardin forceps through choledochotomy
and closed over T-tube, but potential of complications and residual stones exist with this therapeutic modality.
This study discusses the role of choledochoscopy in diagnosing and treating most diseases of the hepato-biliarypancreatic system particularly in patients in whom laparotomy with or without choledochotomy
is planned or performed and in whom ERCP, MRCP, or other advanced techniques are not applied, deficient or unsuccessful.
Surgical treatments included cysts excision with Roux-en-Y hepaticojejunostomy in three patients, cysts excision with cholangiojejunostomy in two patients, partial cyst excision with left lobectomy and Roux-en-Y hepaticojejunostomy, pancreatoduodenectomy, chemotherapy with implantable drug delivery system via hepatic artery and portal vein, and choledochotomy
with T-tube drainage and metastatic lymph node biopsy in one patient, respectively.
After cholecystectomy except in one case, supraduodenal choledochotomy
was done and CBD explored.
Type of Treatment given: All 240 cases in the present study were managed by operative intervention of cholecystectomy and/or choledochotomy
13] following choledochotomy
is unnecessary as it prolongs hospital stay and increases post-operative morbidity.
Soon enough, choledochotomy
became the gold standard notwithstanding the fact that addition of the ductal exploration to cholecystectomy raises the morbidity and mortality significantly (3, 4).