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A safe technique for laparoscopic cholecystectomy for incarcerated gallbladder stone.

BACKGROUND/AIMS
We present our new laparoscopic technique for treating incarcerated stones in either the cystic duct or the neck of the gallbladder.


PATIENTS AND METHODS
One hundred sixteen patients who underwent laparoscopic cholecystectomy were studied.


RESULTS
In all, 18 patients (16%) were found to have incarcerated stones in gallbladder or cystic duct. Eleven patients were drip infusion cholangiography (DIC) negative. The length of the operative time for these patients was significantly longer than that in non-incarcerated stone cases. We present our new laparoscopic technique for treating incarcerated stones in either the cystic duct or neck of the gallbladder and this procedure includes a needle aspiration of the bile juice, the transsection and removal of the incarcerated stone and an extracorporeal ligation.


CONCLUSIONS
This above procedure was successfully performed on a series of 4 patients. Our procedure is therefore considered to allow us to complete a laparoscopic cholecystectomy even in extremely hypertrophic cases with incarcerated stones either in the cystic duct or Hartmann's pouch.