الفهرس 
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Abstract
The era of Laparoscopic cholecystectomy has been established as it decreases postoperative pain, decreases the need for postoperative analgesia, shortens the hospital stay from 1 week to less than 42
hours, and returns the patient to full activity within 1 week (compared with 1 month after open cholecystectomy).
Cystic duct stones espicially in patients with multiple tiny gallbladder stones are implicated in post-cholecystectomy pain, failure of insertion of on-table cholangiogram catheter and the subsequent development of common bile duct (CBD) stones and obstructive jaundice.
This was a prospective study included 03 patients with chronic calcular cholecystitis with multiple tiny stones, patients were operated at Department of General Surgery, Menoufia university hospital between December 4312 and August 4312.
All patients were scheduled for laparoscopic cholecystectomy with exploration of cystic duct, intraoperative cholangiogram was done only for selected cases.
Cystic duct stones were detected in 9 cases in different patterns (multiple stones, single stone, gravels).
CDS were detected more in patients with elevated liver functions including (ALT, AST, ALP,GGT).
CDS were detected more in patients with dilated cystic duct.
No postoperative complications was found regarding (bile leak, obstructive jaundace, postcholecystectomy pain).
Common bile duct stones were found in 1 case detected by cholangiogram, ERCP was done in the same session.