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OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH T TUBE DRAINAGE

Open cholecystectomy with common bile duct exploration with T tube drainage is done in case of Gall stone disease complicated by multiple large  bile duct stones which cannot be removed by ERCP. In this procedure, Abdomen is opened through Right sub-costal incision, Gall bladder will be removed followed by opening of bile duct and all the stones will be cleared. The stone clearance is confirmed by intra-operative cholangiogram or choledocoscopy. Once this procedure is over, bile duct opening is closed over a T tube to prevent the bile duct structure.


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