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OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH CHOLEDOCHODUODENOSTOMY

        Gall stones with several bile duct stones and a moderately well-dilated common bile duct are an indication for this surgery. Sometimes bile duct will be packed with stones and in these patients, there is a possibility of recurrence of bile duct stones even after removing the stones from bile duct and removal of gallbladder. 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. Then, the bile duct is joined with first part of duodenum to create an alternate passage which prevent the recurrent stone formation in the bile duct.


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