iarjimphIARJIMPHIARJIMPH2709-331Xhttps://doi.org/10.47310/iarjimph.2021.v02i02.030Comparison of Open Cholecystectomy with Choledocholithotomy with Choledochoduodenostomy and Laparoscopic Cholecystectomy with Laparoscopic CBD Exploration (LCBDE) in the Management of Cholelithiasis with Choledocholithiasis: A Systematic Review and Critical AnalysisRamB.DhimanA.GuptaA. K.GuptaJ.KumariS.Department of Surgery, IGMC Shimla, Himachal Pradesh, IndiaProfessor, Department of Surgery, IGMC Shimla, Himachal Pradesh, IndiaAssistant Professor, Department of Surgery, IGMC Shimla, Himachal Pradesh, IndiaDepartment of Physiology, IGMC Shimla, Himachal Pradesh, IndiaThe management of concomitant gall bladder and CBD stones has evolved significantly over the past 20-30 years. In the era of open surgery, open CBD exploration (choledocholithotomy) used to be performed if any common bile duct stones were identified at cholangiography. With the advent of various modern technologies, open surgical procedures, such as CBD exploration or biliary-enteric bypasses, are now usually considered where ERCP fails to retrieve stones or where facilities of advanced laparoscopic surgery are not available. The present article discusses the comparison of the two procedures and their applications.