The anterior wall of the CBD is additionally dissected within the porta hepatis, by using blunt or instrumental dissection (avoiding the use of electrocautery close to the CBD).
A longitudinal incision is made with a laparoscopic knife into the CBD after having blown up the CBD with saline solution through the transcystic cholangiographic catheter. The size of the incision is dependent on the size of the largest CBDS to be extracted from the CBD.
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