blog

Home / blog

ENDOSCOPIC RETROGRADE CHOLANGIO PANCREATOGRAPHY (ERCP) WITH CBD STONE EXTRACTION WITH BILIARY STENTING

ENDOSCOPIC RETROGRADE CHOLANGIO PANCREATOGRAPHY (ERCP) WITH CBD STONE EXTRACTION WITH BILIARY STENTING

  • - ERCP IS THE PROCEDURE DONE FOR CBD STONE
  • - BILE DUCT CANNULATION IS THE FIRST PROCEDURE
  • - AMPULLARY SPHINCTEROTOMY IS DONE TO WIDEN THE AMPULLARY OPENING
  • - BALLOON SPINCTEROPLASTY WILL WIDEN THE AMPULLA FURTHER
  • - OCCLUSION CHOLANGIOGRAM IS DONE TO ASSESS THE COMPLETENESS OF STONE REMOVAL
  • - BILIARY STENT PLACEMENT IS THE FINAL PROCEDURE IN ERCP

LAPAROSCOPIC COMMON BILE DUCT EXPLORATION (LAP CBDE) WITH T-TUBE DRAINAGE

LAPAROSCOPIC COMMON BILE DUCT EXPLORATION (LAP CBDE) WITH T-TUBE DRAINAGE

  • - DONE FOR GALL STONE AND CBD STONE
  • - LAPAROSCOPIC REMOVAL OF CBD STONE ALONG WITH GALL BLADDER WITH STONE
  • - LAPAROSCOPIC CBD EXPLORATION WILL BE COMPLETED WITH T-TUBE DRAINAGE OF BILE DUCT
  • - MULTIPLE CBD STONES REQUIRE INTRAOPERATIVE CHOLANGIOGRAM OR CHOLANGIOSCOPY
  • - LAP GALL BLADDER REMOVAL WILL BE COMPLETED LAP CBD EXPLORATION
  • - LARGE CBD STONE AND PYLORIC OBSTRUCTION ARE REASONS FOR LAP CBD EXPLORATION

OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH T TUBE DRAINAGE

OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH T TUBE DRAINAGE

  • - DONE FOR GALL STONE DISEASE WITH CBD STONE
  • - OPEN TECHNIQUE IS DONE IN CASE OF PREVIOUS UPPER ABDOMINAL SURGERY OR LARGE CBD STONE.
  • -CBD IDENTIFICATION, OPENING THE CBD AND STONE EXTRACTION FROM CBD IS CBD EXPLORATION
  • - INTRA OPERATIVE CHOLANGIOGRAM OR CHOLANGIOSCOPY IS DONE TO ASSESS THE COMPLENESS OF THE STONE REMOVAL
  • - CBD OPENING IS CLOESD OVER T TUBE WITH A ABSORBABLE SUTURES.
  • - T-TUBE CHOLANGIOGRAM IS DONE BEFORE T –TUBE REMOVAL.

OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH CHOLEDOCHODUODENOSTOMY

OPEN CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION WITH CHOLEDOCHODUODENOSTOMY

  • - DONE FOR GALL STON MULTIPLE CBD STONESE WITH
  • - GALL BLADDER REMOVAL WITH CBD STONE CLEARENCE IS DONE
  • - LOWER CBD IS CONNECTED TO FIRST PART OF DUODENUM
  • - RECURRENT STONES WILL PAAS THROUGH THE ANASTOMOSIS.
  • - FAIR CBD DILATATION IS REQUIRED TO PERFORM THIS PROCEDURE
  • - RECURRENCE OF STONE RESIDUES IN THE LOWER CBD MAY CAUSE APIN ABDOMEN-SUMP SYNDROME

OPEN CHOLECYSTECTOMY WITH CBD EXPLORATION WITH HEPATICOJEJUNOSTOMY

OPEN CHOLECYSTECTOMY WITH CBD EXPLORATION WITH HEPATICOJEJUNOSTOMY

  • - RARELY DONE PROCEDURE FOR GALL STONE WITH GALL STONE RELATED COMPLICATIONS
  • - DONE IN CASE OF MIRIZZI SYNDROME
  • - AFTER GALL BLADDER REMOVAL ALL THE CBD STONES WILL BE CLEARED
  • - HEPATICOJEJUNOSTOMY IS DONE IN CASE OF DEFECT IN THE CBD
  • - SIDE TO SIDE HEPATICOJEJUNOSTOMY IS DONE
  • - THIS PROCEDURE WILL PREVENT THE DEVELOPMENT OF CBD STRICTURE