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Journal of Gastrointestinal Surgery

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01-12-2012 | HOW I DO IT

Operative Management of Recurrent Choledocholithiasis

Authors: Kazuhide Matsushima, David I. Soybel

Published in: Journal of Gastrointestinal Surgery | Issue 12/2012

Abstract

Introduction

With the advent of endoscopic and image-directed percutaneous approaches, it is increasingly uncommon to require a surgical approach for recurrent bile duct stones.

Technique

We describe open side-to-side choledochoduodenostomy as one of the surgical options for recurrent bile duct stones. This procedure includes the following elements: exposure of the common bile duct, mobilization of the duodenum (Kocher maneuver), choledochotomy, inspection of the bile duct with a choledochoscopy, and anastomosis of the bile duct with the duodenum. Other options for operative management are discussed.

Conclusion

Surgical drainage procedures for recurrent bile duct stones can be performed for patients who fail to respond to endoscopic and nonoperative interventional treatments with good long-term outcomes.

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Title: Operative Management of Recurrent Choledocholithiasis
Authors: Kazuhide Matsushima
David I. Soybel
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 12/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-1968-5

At a glance: The STEP trials

Springer Medicine

Operative Management of Recurrent Choledocholithiasis

Abstract

Introduction

Technique

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Technique

Conclusion

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