RT Book, Section
A1 Yoo, Jin S.
A1 Pappas, Theodore N.
A2 Zinner, Michael J.
A2 Ashley, Stanley W.
SR Print(0)
ID 57019038
T1 Chapter 52. Laparoscopic Biliary Procedures
T2 Maingot's Abdominal Operations, 12e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163388-8
LK accesssurgery.mhmedical.com/content.aspx?aid=57019038
RD 2024/04/19
AB The  most  common  biliary  tract  procedure  currently  performed  is  the  laparoscopic  cholecystectomy.  This  has  yielded  interest  in  management  of  common  bile  duct  (CBD)  stones  encountered  during  the  procedure.  Successful  management  of  such  stones  during  a  laparoscopic  cholecystectomy  is  beneficial  to  the  patient  by  preventing  a  secondary  or  more  invasive  procedure  to  clear  the  duct,  such  as  endoscopic  retrograde  cholangiopancreatography  (ERCP)  or  laparoscopic  CBD  exploration,  respectively.  Furthermore,  an  all-inclusive  operation  may  be  more  cost-effective.  Other  operations  on  the  biliary  tract,  including  bile  duct  resections  and  reconstructions  can  be  the  most  technically  demanding  procedures  that  a  general  surgeon  performs.  The  advancement  of  technology  and  surgical  skills  in  the  field  of  minimally  invasive  surgery  has  allowed  for  traditionally  open  complex  biliary  procedures  to  be  attempted  and  successfully  performed  laparoscopically.  This  chapter  focuses  on  minimally  invasive  techniques  in  the  management  of  biliary  tract  disease.  Identification  and  management  of  CBD  stones  and  performing  biliary  bypass  procedures  are  discussed  in  detail.  Highly  advanced  laparoscopic  biliary  tract  procedures  that  are  performed  in  selected  patients  are  briefly  mentioned  as  well.  These  procedures  have  not  gained  widespread  use  and  are  generally  performed  by  specialized  laparoscopic  surgeons  due  to  the  inherent  technical  difficulties  and  there  are  viable  endoscopic  therapies  that  are  just  as  effective  as  the  surgical  therapies.  Nevertheless,  the  knowledge  and  utility  of  these  techniques  will  be  important  in  practices  where  advanced  endoscopic  procedures  are  not  available  and  at  centers  specialized  in  hepatobiliary  surgery.