Laparoscopic Cholecystectomy with Lap Choledochoduodenostomy

Why is the procedure done?

Cholecystectomy is a surgical procedure done to remove the gall bladder in order to retrieve gallstones as well as prevent gall bladder cancer. Choledochoduodenostomy is an additional procedure that can be done during this surgery, to create a bypass between the bile duct and duodenum in order to remove the stones as well as prevent a recurrence of the problem.

How is the procedure done?

• A small incision is made in the navel through which the laparoscope, a thin tube with a camera at one end, is inserted. The abdomen is then inflated with carbon dioxide to provide better view and room to operate. 
• Additional laparoscopic tools are inserted through three other small incisions in the abdomen to aid the clipping of the gall bladder from the adherent artery and bile duct.
• The gall bladder is removed through one of the incisions. 
• Next an incision into the biliary duct is made (choledochotomy) and the stones are removed.
• A triangular network between biliary duct and duodenum is constructed by suturing the anterior and posterior walls of the duodenum to the biliary duct to create a bypass for biliary drainage.
• Finally all the incisions are sutured.