Copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2023; 11(29): 7193-7199
Published online Oct 16, 2023. doi: 10.12998/wjcc.v11.i29.7193
Published online Oct 16, 2023. doi: 10.12998/wjcc.v11.i29.7193
Laparoscopic choledocholithotomy and transductal T-tube insertion with indocyanine green fluorescence imaging and laparoscopic ultrasound: A case report
Daegwang Yoo, Department of Surgery, Seoul Soonchunhyang University Hospital, Seoul 04401, South Korea
Author contributions: Yoo D wrote the case report, performed the conceptualization and patient information acquisition, and drafted and critically revised the article for important intellectual content.
Supported by the Soonchunhyang University Research Fund , No. 2023-0060 .
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The author has no conflicts of interest to declare.
CARE Checklist (2016) statement: The author read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Daegwang Yoo, MD, PhD, Assistant Professor, Department of Surgery, Seoul Soonchunhyang University Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul 04401, South Korea. yoodaegwang@naver.com
Received: July 6, 2023
Peer-review started: July 6, 2023
First decision: July 18, 2023
Revised: July 28, 2023
Accepted: September 18, 2023
Article in press: September 18, 2023
Published online: October 16, 2023
Peer-review started: July 6, 2023
First decision: July 18, 2023
Revised: July 28, 2023
Accepted: September 18, 2023
Article in press: September 18, 2023
Published online: October 16, 2023
Core Tip
Core Tip: Laparoscopic choledocholithotomy for a large impacted common bile duct (CBD) stone is a challenging procedure, even in this era of minimally invasive surgery. A 71-year-old man showed a distal CBD stone (45 mm) and a middle CBD stone (20 mm). Laparoscopic choledocholithotomy was performed with a near-infrared indocyanine green fluorescence scope and laparoscopic intraoperative ultrasound. Two CBD stones were successfully removed with the Endo BabcockTM, and T-tube insertion was done. This case shows that laparoscopic choledocholithotomy by the transcholedochal approach and transductal T-tube insertion is a safe and feasible option for large-sized impacted CBD stones.