Laparoscopic Common Bile Duct Exploration (LCBDE)
Advanced keyhole surgery to remove stones directly from the common bile duct — performed laparoscopically when ERCP is unsuitable or unsuccessful, often combined with gallbladder removal in a single sitting.
What is Laparoscopic Common Bile Duct Exploration (LCBDE)?
Laparoscopic Common Bile Duct Exploration (LCBDE) is an advanced keyhole technique to remove stones directly from the common bile duct, usually combined with laparoscopic cholecystectomy in the same sitting. This single-stage approach is particularly useful for patients in whom ERCP is not suitable, has failed, or where it is preferable to clear the duct and remove the gallbladder together. Dr. Tejasree Vengala performs LCBDE at Lux Hospitals, Hyderabad, offering an effective, minimally invasive solution that avoids the need for repeated procedures.
How the Procedure Works
Anaesthesia & Imaging
Surgery is performed under general anaesthesia. Intra-operative cholangiography or ultrasound confirms the location and number of bile duct stones.
Laparoscopic Access
Standard laparoscopic ports are placed, similar to a routine keyhole gallbladder surgery.
Bile Duct Exploration
The bile duct is approached either through the cystic duct (transcystic) or by a small opening in the bile duct (choledochotomy).
Stone Removal
A fine choledochoscope is used to visualise the duct, and stones are removed with baskets or balloons under direct vision.
Closure & Gallbladder Removal
The bile duct is closed primarily or over a T-tube, the gallbladder is removed in the same sitting, and patients usually go home within 2–3 days.
Outcomes
Who Needs This Treatment?
- →
Single-stage clearance of bile duct stones and gallbladder
- →
Avoids the need for separate ERCP procedure
- →
Minimally invasive — only small keyhole incisions
- →
Direct visualisation of the bile duct using a choledochoscope
- →
Faster recovery and shorter overall hospital stay
- →
Useful when ERCP is technically not feasible
When a bile duct stone shows up unexpectedly during gallbladder surgery, LCBDE allows us to take care of everything in one sitting — no second admission, no second anaesthesia. It is technically demanding, but it is exactly the kind of complete care patients deserve.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Laparoscopic Common Bile Duct Exploration (LCBDE) Cost in Hyderabad
The cost of laparoscopic common bile duct exploration (LCBDE) in Hyderabad depends on the presence and complexity of bile duct stones, number and size of stones, the difficulty of stone removal, the surgical approach, the investigations required, and the care needed before and after the procedure.
For patients requiring laparoscopic exploration and removal of stones from the common bile duct, the approximate cost ranges between ₹1,20,000 and ₹2,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laparoscopic Common Bile Duct Exploration (LCBDE) | ₹1,20,000 – ₹2,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, number and size of bile duct stones, need for additional procedures, and post-operative care requirements.
Factors That Influence Laparoscopic Common Bile Duct Exploration (LCBDE) Cost
The overall cost may depend on:
- →
Bile duct stone complexity: The size, number, and location of stones in the common bile duct and difficulty in removal may influence treatment planning and surgical complexity.
- →
Pre-operative evaluation: Required clinical examination, liver function tests, ultrasound, MRCP or other imaging, blood tests, and medical assessments before surgery may affect the overall cost.
- →
Surgical requirements: The complexity of laparoscopic exploration, stone extraction technique, and management of the bile duct may influence the procedure cost.
- →
Additional procedures: If gallbladder removal, bile duct repair, stenting, or management of complications is required along with LCBDE, the cost may vary.
- →
Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, wound care, and follow-up requirements may influence the final estimate.
Is Laparoscopic Common Bile Duct Exploration (LCBDE) Covered by Insurance?
LCBDE may be covered by health insurance when it is performed for a medically necessary bile duct condition. Coverage depends on your insurance policy, inclusions, exclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine the appropriate treatment approach. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
07969084424 07969084424Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.