𝗘𝘅𝘁𝗲𝗻𝘀𝗶𝗼𝗻 𝗼𝗳 𝗖𝗵𝗼𝗹𝗲𝗱𝗼𝗰𝗵𝗼𝘁𝗼𝗺𝘆 𝗳𝗼𝗿 𝗟𝗮𝗿𝗴𝗲 𝗖𝗕𝗗 𝗦𝘁𝗼𝗻𝗲 🔴CBD diameter key 🔴Extend choledochotomy with choledochotome 🔴CBD stone trapped in basket under slight tension and brought to choledochotomy 🔵Other options ➡️EHL ➡️Laser Lithotripsy 🔵Caution when extending choledochotomy ➡️Experience and training critical #FOAMed #GITwitter #MedEd #Surgery #SoMe4Surgery

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @BrownJHM @rbarbosa91 @mj_pucci @altaf_awan12 @ib9994 @javlatif The cold knife using 11 no blade is very helpful. Palpation of the stone and making the incision over it is a sure way of minimising injuries. Only the tip of the knife should be used, that too under vision.

@Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @BrownJHM @rbarbosa91 @mj_pucci @altaf_awan12 @ib9994 @javlatif The urinary system stones also have a similar option, which is to remove the stones by cutting open the renal pelvis or ureter.