A 50-year-old lady with a history of jaundice in the past has presented with right upper quadrant abdominal pain. Examination and investigations reveal chronic calculous cholecystitis. The liver function tests are within normal limits and no ultrasound examination the common bile duct is not dilated. Which of the following will be the procedure of choice in her
For patients with chronic cholecystitis, cholecystectomy is the treatment of choice which is better to be done laparoscopically.Along with that ERCP can be done to visualise the biliary tree.If the cause for cholecystitis was stones in the duct, choledocholithotomy can be done, in which we are removing the stones by a longitudinal incision in the duct. Reference: SRB&;s manual of surgery,5th edition, page no. 648; Bailey &Love&;s sho practise of surgery,25th edition, page no.1121,1124 &1126.
Laparoscopic cholecystectomy
Open choledocholithotomy with CBD exploration
ERCP +_ cholesystectomy followed by laparoscopic cholecystectomy
Laparoscopic cholecystectomy followed by ERCP +_ choledocholithtomy
G.I.T