Endoscopic removal of stone in patients with retained common bile duct stone and T-tube after cholecystectomy. Is it justified?
Fifteen patients with retained common bile duct (CBD) stones and T-tube and twenty patients with CBD stones without T-tube had stones removed by endoscopic method. The result of endoscopic sphincterotomy, stone extraction, stone clearance and complication in patients with T-tube was similar to the results in patients without T-tube. The presence of T-tube did not create much difficulty in stone removal and the successful rate of 86.6 per cent (13/15) was satisfactory. Endoscopic removal of retained stones in patients with T-tube is recommended when retrieval via T-tube is not available since the later has fewer reported complications with very low mortality compared to the endoscopic technique.
Ovartlarnporn
B
B
Department of Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
Piratvisuth
T
T
Wacharasin
R
R
Chongchitnant
P
P
Maipang
T
T
Petpichetchian
C
C
Kuapanich
R
R
D000368:Aged; D002763:Cholecystectomy; D004322:Drainage; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D016717:Sphincterotomy, Endoscopic / Q000379:methods*