Our results show that there is a significant reduction in length of hospital stay and morbidity for patients that have ante-grade biliary stent decompression of the CBD post laparoscopic choledochotomy when compared T-tube drainage. This implies that ante-grade biliary stent insertion is likely to reduce costs and increase overall patient satisfaction. We support the use of ante-grade biliary stent insertion during LCBDE when primary closure is not preferred.
Highlights
Acute cholecystitis with empyema and Mirizzi Syndrome mimics both XGC and malignancy.
Subtotal fenestrating cholecystectomy is both safe and effective in these cases.
PTC can be considered over ERCP for first-line pre-operative biliary drainage.
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