Treatment of symptomatic retained GB stone is?
High-Yield Explanation
.Gall stones should be dealt by laparoscopic cholecystectomy in 2 weeks after acute attack. Endoscopic sphincterotomy (ERCP) and often stenting may be needed if there are CBD stones. ERCP--Therapeutic, i.e. Endoscopic papillotomy (sphincterotomy) and stone extraction through Dormia basket or balloon catheter; or fragmenting the stone and extraction; or removal through baby endoscope. CBD stent is placed in situ.Once CBD stones are extracted through ERCP, laparoscopic cholecystectomy is done. ref : SRB&;s manual of surgery,3 rd ed,pg no 584