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PERCUTANEOUS EXTRACTION OF RETAINED COMMON BILE‐DUCT STONES VIA THE T‐TUBE TRACK
Author(s) -
Brough W. A.,
Sali A.,
Hennessy O.,
McKenzie A.,
Kune G. A.
Publication year - 1988
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1988.tb01085.x
Subject(s) - medicine , percutaneous , surgery , bile duct , common bile duct , tube (container) , mechanical engineering , engineering
A total of 86 procedures were performed in 58 patients referred in the postoperative period, for percutaneous stone extraction through the T‐tube track. In 43 patients, the stone or stones were extrahepatic, intrahepatic in nine, and both intrahepatic and extrahepatic in six patients. Of the 58 patients with residual bile‐duct stone(s), 48 (83%) were treated successfully by percutaneous removal, seven (12%) had an endoscopic sphincterotomy following unsuccessful T‐tube track extraction, one (2%) had a re‐operation and two (3%) remain with residual stones. No major complications occurred in this series. In contrast to endoscopic sphincterotomy, percutaneous T‐tube extraction of retained bile‐duct stones is associated with no mortality and low morbidity and is advocated as the procedure of choice in the presence of a T‐tube.