Aim: The latest advance in management of common bile duct (CBD) stones is laparoscopic common bile duct exploration 
(LCBDE). We present our experience in management of patients with CBD stones by the LCBDE. 
Methods: Between February 2006 and May 2008, 58 patients with CBD stones had been operated by LCBDE in Mansoura 
Gastroenterology Surgical Center. Patients considered for LCBDE were those who were found to have CBD stones with a 
dilated CBD 10 mm or more, in the absence of cholangitis, pancreatitis or contraindication to laparoscopy. All patients 
had been treated by laparoscopic choledochotomy. 
Results: The operation was completed laparoscopically in 52 (89.7%) and only 5 (8.6%) patients were converted to an 
open procedure. One patient had intraoperative endoscopic retrograde cholangiopancreatography (ERCP). The CBD was 
closed around T-tube in 35 patients, 13 had primary closure and 4 had choledochoduodenostomy. No mortality or 
intraoperative complications were reported but 2 patients had postoperative complications. Retained CBD stones were 
detected in 2 patients. 
Conclusion: LCBDE is both feasible and safe. Biliary surgeons should aim to master LCBDE as an essential surgical 
option in CBD stone management.