Here are some methods on how to do a laparoscopic assisted ERCP.
Mostly this is done in patient with a history with Roux-Y gastric bypass and stones in the CBD. There are several ways to reach the CBD. The endoscopist could perform a dubbelballoon ERCP. However, this is a very challenging procedure.
More ways to reach your destiny
Alternativly, you can do an laparoscopic assisted ERCP. The acces and canulation of the papilla becomes easier. Here are two ways to demonstrate what is possible.
