LAPAROSCOPIC COMMON BILE DUCT EXPLORATION

What is laparoscopic common bile duct exploration?

Laparoscopic common bile duct exploration is a minimally invasive surgical procedure designed to remove gallstones from the common bile duct. The procedure is performed by making 4 small incisions through which specialized instruments, including a laparoscopic camera, are inserted into the body. It generally takes an hour and a half to two hours to perform.

What are the advantages of laparoscopic common bile duct exploration?

With laparoscopic surgery, smaller incisions are made than in traditional surgery. As a result, there is less blood loss, less scarring, and less post-operative pain. The recovery time is significantly shorter than after traditional surgery.

Who should have laparoscopic common bile duct exploration?

The procedure is used to treat choledocholithiasis (gallstones in the common bile duct). Anyone needing common bile duct exploration surgery should discuss the laparoscopic option with their doctor. This procedure is an alternative to performing laparoscopic cholecystectomy followed by and endoscopic retrograde chloangiopancreatography.

What preparations will be needed prior to surgery?

The surgeon may have the patient see a primary care doctor prior to surgery to make sure there are no medical conditions that may cause a problem with the surgery.  There will be a pre-op appointment prior to the day of surgery that will include a history and physical examination, possible blood samples, possible EKG, and a visit with a member of anesthesia department.  Patients should not eat or drink anything after midnight on the night before surgery.

What type of anesthesia will be required?

Laparoscopic common bile duct explorations are done under general anesthesia

Is there a hospital stay after surgery?

Most laparoscopic common bile duct exploration surgeries require a one day hospital stay.

What kind of a recovery can be expected?

Most patients return to work in 1-2 weeks. Occasionally, patients require a drain post-operatively.