Common Bile Duct Exploration (Open)
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Open Common Bile Duct Exploration with T-Tube Drainage
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV antibiotics at induction including biliary cover
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine. Radiolucent table for intraoperative cholangiography.
INDICATION:
Common bile duct stones — identified at [open cholecystectomy with intraoperative cholangiography / laparoscopic cholecystectomy with conversion to open / palpable stones in CBD at open cholecystectomy]. ERCP not feasible or stones not amenable to endoscopic extraction. [Preoperative LFTs / USS / MRCP findings].
INCISION: [Describe incision]