Table 3.

Surgical options specific to pathology

Pathology	Surgical options	Alternatives
Acute choledocholithiasis	Cholecystectomy with bile duct exploration and T-tube drainage	Cholecystectomy with ERCP
Stone impaction at ampulla	Cholecystectomy with bile duct exploration and T-tube drainage	Transduodenal sphincteroplasty
Mirizzi’s syndrome	Cholecystectomy with bile duct exploration and T-tube drainage	Roux-en-Y hepaticojejunostomy
Stenosis of sphincter of Oddi	Transduodenal sphincteroplasty	Choledochoduodenostomy or Roux-en-Y hepaticojejunostomy
Gallstone pancreatitis (primary stones and common channel)	Transduodenal sphincteroplasty	Roux-en-Y hepaticojejunostomy
Chronic pancreatitis with obstructed jaundice (benign)	Choledochoduodenostomy	Roux-en-Y hepaticojejunostomy
Ischemic biliary strictures	Roux-en-Y hepaticojejunostomy
Primay sclerosing cholangitis	Roux-en-Y hepaticojejunostomy
Choledochal cysts	Roux-en-Y hepaticojejunostomy
Cholangiocarcinoma	Radical resection with Roux-en-Y hepaticojejunostomy	Palliative Roux-en-Y hepaticojejunostomy
Gallbladder carcinoma	Radical resection with roux-en-y hepaticojejunostomy	Palliative Roux-en-Y hepaticojejunostomy
Pancreatic carcinoma	Radical resection with Roux-en-Y hepaticojejunostomy	Palliative Roux-en-Y hepaticojejunostomy