title: Cholecysto-choledochostomy plus construction of subcutaneous cholecystic tunnel in treatment of choledocholith.
abstract: OBJECTIVE
  To avoid the pitfalls of choledochotomy with T-tube drainage in the treatment of choledocholith.
  
  
  METHODS
  A novel operation was designed as cholecysto-choledochostomy plus construction of subcutaneous cholecystic tunnel. After the common bile duct was cut open and stones were removed, the gallbladder was appropriately dissociated and the cholecystic ampulla was incised. Then, the incision of the cholecystic ampulla was anastomosed to the opened common bile duct, and the cholecystic fundus was fixed out of the abdominal muscular stratum.
  
  
  RESULTS
  Twenty-one patients with choledocholith underwent this operation successfully and recovered well without postoperative complications. One of them was diagnosed as having recurrent stones in 2 years and 3 months after operation. Consequently, the subcutaneous cholecystic tunnel was opened under local anesthesia to remove successfully the stones with choledochoscope.
  
  
  CONCLUSIONS
  This operation provides a convenient way to remove postoperative recurrent stones with choledochoscope and avoid receliotomy.
authors: PLA Centre of General Surgery, Chengdu General Hospital, Chengdu 610083, China. tljwhj@yahoo.com.cn
authors: Li-Jun
authors: LJ
authors: Tang
authors: Fu-Zhou
authors: FZ
authors: Tian
authors: Zhong-Hong
authors: ZH
authors: Cai
mesh_terms: D000328:Adult; D000368:Aged; D002767:Cholecystostomy / Q000379:methods*; D042883:Choledocholithiasis / Q000175:diagnosis / Q000601:surgery*; D002768:Choledochostomy / Q000379:methods*; D016145:Endoscopy, Digestive System; D005260:Female; D005704:Gallbladder / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence