Laparoscopic Common Duct Exploration Following Failed Endoscopic Stone Extraction

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For patients with failed endoscopic extraction, further endoscopic, open, or laparoscopic clearance can be attempted. The following case report describes the laparoscopic removal of high common duct stones through a choledochotomy. As a nasobiliary stent was in place, a T-tube was considered unnecessary, and the choledochotomy was simply closed with a running suture. T-tubes are an irritant following laparoscopic duct exploration and in the future might be replaced, in selected cases, by a laparoscopically placed internal stent.

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