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Choledocholithiasis: percutaneous treatment

C G Navarrete1, C T Castillo, P Y Castillo

  • 1Endoscopic Surgery Unit, Clínica Santa María, Santiago, Chile.

World Journal of Surgery
|November 26, 1998
PubMed
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The percutaneous removal of retained biliary duct stones using a T-tube is a safe, cost-effective, and minimally invasive procedure. This approach offers low morbidity and mortality rates for patients requiring stone extraction.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery

Background:

  • Retained biliary duct stones pose a significant clinical challenge.
  • Percutaneous approaches offer a minimally invasive alternative for stone removal.

Purpose of the Study:

  • To evaluate the efficacy and safety of the percutaneous approach for retained biliary duct stones in patients with a T-tube.
  • To detail the techniques and problem-solving strategies for this procedure.

Main Methods:

  • Retrospective analysis of 373 patients undergoing percutaneous removal of retained biliary duct stones.
  • Emphasis on the technical aspects of the procedure and management of complications.

Main Results:

  • The percutaneous approach with a T-tube demonstrated low morbidity and mortality.

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  • The procedure was found to be cost-effective.

    • Conclusions:

    • Percutaneous removal of retained biliary duct stones in the presence of a T-tube is a highly reasonable and effective treatment option.
    • The technique is associated with favorable patient outcomes and economic benefits.