Laparoscopic Common Bile Duct Exploration Using a Standard Gastroscope and Simple Accessories in a Resource-Limited Setting: A Case Report and Review of Literature
Niranjana PB, Dhananjaya Sarji, Madhu K R
Asian Journal of Case Reports in Surgery · pp. 794–798 · Published 3 Dec 2025
10.9734/ajcrs/2025/v8i2720Abstract
Background: Laparoscopic common bile duct exploration (LCBDE) is a recognized treatment for choledocholithiasis. Dedicated choledochoscopes and retrieval accessories facilitate the procedure but may be unavailable in resource-limited centers. Case Presentation: We report a 51-year-old male with intermittent itching and fever for two years. Imaging showed a distal common bile duct (CBD) stone measuring 1.5 cm with a CBD diameter of 10 mm. LCBDE was performed using a standard upper gastrointestinal gastroscope for intraductal visualization. The stone was retrieved using a Roth net and biopsy forceps. The choledochotomy was closed transversely with interrupted 4-0 PDS sutures without a stent or T-tube. The patient recovered uneventfully and was discharged on postoperative day 2. Follow-up at one month showed no complications. Conclusion: LCBDE can be safely and effectively performed using a standard gastroscope and simple instruments in selected cases within resource-limited settings. Larger series and longer follow-up are needed to confirm long-term safety and ductal patency.
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