The procedure of choice for elective removal of CBD stones for most patients is
Open choledocholithotomy
Laparoscopic choledocholithotomy
Endoscopic choledocholithotomy
Percutaneous choledocholithotomy
Elective definitive treatment Cholecystectomy with choledochotomy and CBD exploration T-tube is left in place for cholangiography and removal of any retained stone T-tube cholangiogram is done on 7th - 10th day Post-operatively Remove the T-tube if cholangiogram is normal If residual stone is discovered on the postoperative cholangiogram, T-tube should be left in place for 4-6 weeks for the tract to mature The stones are removed percutaneously through the matured tract by Burhenne's technique Ref: Sabiston 20th edition Pgno : 1511
G.I.T