Retained and recurrent bile duct stones. Surgical or nonsurgical removal?

Abstract:

:An experience with 69 patients who underwent 72 common bile duct reoperations for retained or recurrent choledocholithiasis is presented. The mean age of the patients was 57 years, and 35 patients had associated conditions. In this series six patients (8.3%) had minor complications and no patient developed major complications or died. Two (2.9%) patients developed recurrent choledocholithiasis. In recent years, nonoperative removal of retained stones through a T-tube by mechanical extraction or chemical dissolution, and removal of retained or recurrent stones by endoscopic sphincterotomy has gained widespread popularity. Retained or recurrent choledocholithiasis should be managed on an individual basis. Reoperation has a good success rate, low morbidity and mortality rates. It should be considered as the treatment of choice in low risk patients, in whom a retained stone cannot be mechanically extracted through a T-tube, and in patients with recurrent choledocholithiasis diagnosed after removal of the T-tube.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Girard RM,Legros G

doi

10.1097/00000658-198102000-00004

subject

Has Abstract

pub_date

1981-02-01 00:00:00

pages

150-4

issue

2

eissn

0003-4932

issn

1528-1140

journal_volume

193

pub_type

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