Laparoscopic common bile duct exploration

Laparoscopic common bile duct exploration (LCBDE) is a safe and effective technique for management of choledocholithiasis. Transcystic CBDE can be learned by housestaff and can be used to manage most patients with choledocholithiasis, reserving postoperative ERCP for unsuccessful transcystic CBDE and deferring choledochotomy for select situations (large stones, altered anatomy, etc.)