Laparoscopic Choledocotomy is a minimally invasive surgical procedure used to remove gallstones from the bile ducts. It involves the use of a laparoscope, which is a thin, lighted tube with a camera and lens attached to it, and specialized surgical instruments to access and remove the stones from the bile duct.

The procedure is performed under general anesthesia and typically takes 1-2 hours to complete. During the procedure, the surgeon makes several small incisions in the abdomen and inserts the laparoscope and other surgical instruments through the incisions. The laparoscope provides a magnified view of the surgical site, which is displayed on a monitor in the operating room.

The surgeon then uses the instruments to access the bile duct and remove the stones. In some cases, a special basket or balloon may be used to remove the stones from the duct. If the stones cannot be removed laparoscopically, an open surgery may be required.

After the stones have been removed, the surgeon may perform a choledochoscopy, which involves inserting a small, flexible scope into the bile duct to check for any remaining stones or other abnormalities.

Laparoscopic Choledocotomy offers several advantages over traditional open surgery, including smaller incisions, less pain, reduced scarring, shorter hospital stays, and faster recovery times. However, as with any surgical procedure, there are also potential risks and complications, such as bleeding, infection, injury to surrounding organs, and bile duct injury.

It is important to discuss the risks and benefits of Laparoscopic Choledocotomy with a healthcare provider to determine if it is the appropriate treatment option for a particular patient.

 

The following are the general steps of Laparoscopic Choledocotomy surgery:

1. Anesthesia: The patient is given general anesthesia to ensure that they are comfortable and do not feel any pain during the procedure.

2. Incision: The surgeon makes several small incisions in the abdomen, through which specialized surgical instruments and a laparoscope are inserted.

3. Exploration: The surgeon uses the laparoscope to explore the abdominal cavity and locate the bile duct.

4. Choledochotomy: The surgeon makes a small incision in the bile duct and inserts a specialized surgical instrument to remove the stones or other obstructions.

5. Stone Removal: The surgeon may use a basket or balloon to remove the stones from the bile duct, or may remove them manually using specialized instruments.

6. Choledochoscopy: After the stones have been removed, the surgeon may perform a choledochoscopy to ensure that there are no remaining stones or other abnormalities.

7. Closure: Once the procedure is complete, the surgeon closes the incisions using sutures or surgical staples.

8. Recovery: The patient is taken to the recovery room to be monitored until they are awake and stable enough to be discharged.

The exact steps of Laparoscopic Choledocotomy may vary depending on the patient's individual needs and the surgeon's approach. It is important to discuss the procedure in detail with a healthcare provider to fully understand the process and potential risks and benefits.