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Postoperative choledochoscopy. A five-year experience.

J J Jakimowicz, B Mak, E J Carol

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1983
    PubMed
    Summary
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    Postoperative choledochoscopy effectively removes retained biliary stones in T-tube patients. This simple technique offers a high success rate for diagnostic and therapeutic interventions in the biliary tract with minimal complications.

    Area of Science:

    • Gastroenterology and Hepatology
    • Minimally Invasive Surgery

    Background:

    • Retained biliary stones are a common complication after surgery.
    • Diagnostic and therapeutic interventions in the biliary tract can be challenging.

    Purpose of the Study:

    • To evaluate the efficacy and safety of postoperative choledochoscopy.
    • To determine its role in managing retained biliary stones and other biliary tract issues.

    Main Methods:

    • A retrospective analysis of 85 consecutive patients undergoing postoperative choledochoscopy over five years.
    • Focus on interventions for retained biliary stones and other diagnostic/therapeutic reasons.

    Main Results:

    • Successful removal of retained biliary stones in 92% of cases (67 out of 73 patients).

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  • 11 stones were located in intrahepatic ducts; 6 cases had failed choledochoscopy.
  • 12 patients underwent the procedure for other diagnostic or therapeutic indications.

    • Conclusions:

    • Postoperative choledochoscopy is a safe and effective method for managing retained biliary stones.
    • It is recommended as the preferred technique for biliary tract interventions in patients with an in situ T-tube.