Retained CBD stone as a cause of cystic bile duct leakage after laparoscopic cholecystectomy

ABSTRACT

One case of cystic bile duct leakage was encountered in 1400 cases of laparoscopic cholecystectomy. Endoscopic re t rograde cholangio-pancreatography [ERCP] showed an impacted stone in the lower end of the common bile duct. This small stone has passed through a wide cystic duct during manipulation at surgery. Selective operative cholangiography was recommended by the author in cases of small gall bladder stones in the presence of a wide, patent cystic duct. ERCP was recommended as the principle diagnostic as well as therapeutic tool in such cases