Choledocholithotomy – Minimally Invasive Solutions for Bile Duct Stones

Choledocholithotomy Surgery Introduction

Choledocholithotomy is a surgical procedure performed to remove stones from the common bile duct (CBD). It is usually done when non-surgical methods like ERCP fail or are not feasible. This surgery helps restore normal bile flow and prevents serious complications like cholangitis or pancreatitis.

Surgical Precision in Action – The Choledocholithotomy Procedure

Choledocholithotomy is typically performed through either an open or laparoscopic approach, depending on the patient’s condition and stone size. The surgeon makes an incision in the common bile duct and carefully extracts the stones using specialized instruments. A choledochoscope may be used to visualize and confirm complete stone removal. Once cleared, the duct may be closed directly or with a T-tube to allow bile drainage. This surgery is often supported by intraoperative cholangiography to ensure no residual stones remain. It is a vital procedure when other stone removal techniques are unsuccessful or contraindicated.

When Is Choledocholithotomy Required?

• Stones causing obstruction in the common bile duct
• Recurrent biliary colic or jaundice due to CBD stones
• Acute cholangitis unresponsive to endoscopic treatment
• CBD stones discovered during gallbladder surgery
• Failure or contraindications of endoscopic stone extraction

Instruments Supporting Biliary Surgery Success

• Choledochoscope
• Stone Retrieval Basket
• Biliary Dilator
• ERCP Catheter
• Biliary Balloon Dilator
• Bile Duct Forceps
• Surgical Scissors
• Laparoscopic Grasper
• Suction Irrigation Set
• T-Tube Drainage Set

Global Landscape of Common Bile Duct Surgeries

• China
• India
• United States
• Brazil
• Germany

Common Stone Composition in Bile Duct Cases

Bile duct stones are mainly classified into cholesterol stones and pigment stones. Cholesterol stones are more common in Western countries, while pigment stones are often seen in Asia due to infections or liver disorders. Identifying the stone type helps guide treatment decisions. Preoperative imaging and lab tests assist in determining composition and recurrence risk.

Choledocholithotomy Benefits

• Effective removal of large or impacted CBD stones
• Prevents recurrent infections like cholangitis
• Reduces risk of bile duct strictures or pancreatitis
• Offers a definitive solution when ERCP fails
• Allows intraoperative stone visualization and duct clearance

Advin Health Care is a trusted manufacturer and global supplier of Choledocholithotomy-related surgical and endoscopic instruments, offering precision-engineered tools for safe and successful outcomes.

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+91-75037 27250 | gastrology@advinhealthcare.com | www.advinhealthcare.com