A modified technique for percutaneous insertion of biliary T-tube

Following percutaneous removal of retained biliary calculi through a t-tube tract, a tube should be reinserted over a guide wire. Reinsertion usually is easy; however, if buckling occurs, a coaxial system consisting of a t-tube over a teflon dilator will give added stiffness, and the t-tube will advance easily into the common bile duct.