*7.1.2 Laparoscopic choledocho-duodenostomy*

The common indications for choledocho-duodenostomy (CDD) are the benign diseases like impact stones with ERCP failure, retained stones, distal common bile duct stricture from chronic pancreatitis, recurrent choledocholithiasis [23, 24]. A laparoscopic CDD is typically performed by laparoscopic intracorporeal suturing, whereas a choledochojejunostomy (CJ) is done by stapled anastomosis. A CDD involves one anastomosis as compared with a CJ required as a Roux-Y limb or a jejunal loop. Another advantage of a CDD includes easy access to the biliary tree endoscopically and physiological bile drainage.
