Gokcen, KaanAtabey, MustafaGokcen, PinarGokce, Gokhan2019-07-272019-07-282019-07-272019-07-2820171895-45882299-0054https://dx.doi.org/10.5114/wiitm.2017.72328https://hdl.handle.net/20.500.12418/6936We present a novel minimally invasive technique, laparoscopy-assisted micropercutaneous choledocholithotripsy, for choledocholithiasis that cannot be treated with other endoscopic techniques. This technique includes standard laparoscopic exploration of the common bile duct, combined with an all-seeing needle and holmium laser lithotripsy. As is known, an all-seeing needle is used in micropercutaneous nephrolithotomy for middle-sized renal stones. In this technique, an all-seeing needle was inserted into the dilatated common bile duct under laparoscopic vision and then a lithotripsy procedure was performed with a holmium laser behind the biliary stent. A cholecystectomized female patient with a 21-mm stone in the common bile duct who previously underwent an unsuccessful endoscopic retrograde cholangiopancreatography procedure was operated on in our service with laparoscopy-assisted micropercutaneous choledocholithotomy without a T-tube. This novel procedure was completed uneventfully and the patient was discharged without any complications. In the future, this procedure will hopefully be a treatment modality in choledocholithiasis that cannot be treated by other minimally invasive techniques.en10.5114/wiitm.2017.72328info:eu-repo/semantics/openAccesslaparoscopymicropercutaneouscholedocholithotripsyArticle124447443293626612-s2.0-85040326447Q2WOS:000419025300015Q4