Percutaneous transhepatic sphincterotomy of the major papilla and stone extraction without endoscopic control
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Updated: Nov 2, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
G Angelini1, G Mansueto, D Giacomin
1Institute of Clinical Medicine, University of Verona, Policlinico Borgo Roma, Verona, Italy.
Abstract:
Obstructive jaundice due to an impacted stone in the common bile duct (CBD) was seen in a patient who had previously undergone Billroth II gastric resection and cholecystectomy. Surgical and endoscopic approaches to the common bile duct failed owing to pericholedochal adhesions and the excessive length of the duodenal loop. The patient was therefore treated percutaneously (sphincterotomy and stone extraction) without endoscopic control.
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