Results of the open surgery after endoscopic basket impaction during ERCP procedure.
OBJECTIVE
To report the results of open surgery for patients with basket impaction during endoscopic retrograde cholangiopancreatography (ERCP) procedure.


METHODS
Basket impaction of either classical Dormia basket or mechanical lithotripter basket with an entrapped stone occurred in six patients. These patients were immediately operated for removal of stone(s) and impacted basket. The postoperative course, length of hospital stay, diameter of the stone, complication and the surgical procedure of the patients were reported retrospectively.


RESULTS
Six patients (M/F, 0/6) were operated due to impacted basket during ERCP procedure. The mean age of the patients was 64.33 ± 14.41 years. In all cases the surgery was performed immediately after the failed ERCP procedure by making a right subcostal incision. The baskets containing the stone were removed through longitudinal choledochotomy with the stone. The choledochotomy incisions were closed by primary closure in four patients and T tube placement in two patients. All patients were also performed cholecystectomy additionally since they had cholelithiasis. In patients with T-tube placement it was removed on the 13(th) day after a normal T-tube cholangiogram. The patients remained stable at postoperative period and discharged without any complication at median 7 d.


CONCLUSIONS
Open surgical procedures can be applied in patients with basket impaction during ERCP procedure in selected cases.
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Sezgin
S
Yilmaz
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Ogun
O
Ersen
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Taner
T
Ozkececi
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Kadir S
KS
Turel
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Serdar
S
Kokulu
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Emre
E
Kacar
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Murat
M
Akici
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Murat
M
Cilekar
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Ozgur
O
Kavak
Sezgin Yilmaz, Ogun Ersen, Taner Ozkececi, Yuksel Arikan, Department of General Surgery, Kocatepe University, 03020 Afyon, Turkey.
Yuksel
Y
Arikan
Basket; Biliary stone; Endoscopic retrograde cholangiopancreatography; Impaction; Surgery