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cbd stone
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cbd stone

Dear doctor,
           i am  68 year old ,5 year back my gallbladder is removed due to multiple stone .But recently i am suffering from cbd stone.Which i have done ercp 5 month  back but unable to extract the stone .and told me to do laproscopy.stent is situ.
           Now i have  done recently
                                   usg and the report
  
  
    PROXIMAL,MID AND DISTAL CBD APPEAR DILATED MEASURED        17MM WITH CBD STENT IN SITU
E/O 15.2MM AND 11.3MM CALCULUS

CAN YOU PLS KINDLY GIVE me YOU OPINION

what should i do
1}Ercp
2}laproscpy
3}open surgery

i am waiting for ans pls reply
on sam_4451***@****
2827584_tn?1340583296
ERCP is almost always the first choice. If it can't be cleared this way a common bile duct exploration needs to be done. Although there are a few surgeons trained to do these laparoscopically, the majority are done open. In your situation, connecting the common bile duct to the duodenum (choledochoduodenostomy) should be considered. Following this procedure, any small stones that may still form in the CBD should pass harmlessly into the intestine.
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