Non-operative retained biliary tract stone extraction.

Our experience with 20 cases of nonoperative retained biliary tract stone extractions is presented.†An improved instrumentation technique through a steerable catheter under roentgenologic control is described.A second surgical intervention for stone removal became unnecessary in all but 1 of our 20 patients undergoing this new roentgenologic technique.All 19 patients have remained asymptomatic after stone removal.The technique was unsuccessful in 1 patient due to our inability to catheterize a tortuous T-tube drain tract.Compared to re-operation or attempts of stone dissolution, extraction under roentgenologic control in the ambulatory patient is the method of choice for the treatment of retained biliary tract stones.

[1]  V. Richards,et al.  Nonoperative extraction of retained biliary tract stones requiring multiple sessions. , 1974, American journal of surgery.

[2]  H. Burhenne.  Nonoperative roentgenologic instrumentation technics of the postoperative biliary tract. Treatment of biliary stricture and retained stones. , 1974, American journal of surgery.

[3]  Burhenne Hj.  Extraction of residual gallstones without reoperation , 1972 .

[4]  R. Schaller,et al.  Removal of a retained biliary stone without reoperation. , 1972, Archives of surgery.

[5]  R. Lieberman,et al.  Nonsurgical removal of a retained common bile duct calculus. , 1972, Radiology.

[6]  J. Thistle,et al.  Dissolution of cholesterol gallstones by chenodeoxycholic acid. , 1972, The New England journal of medicine.

[7]  S. B. Eaton,et al.  Iatrogenic liver injury resulting from ductal instrumentation with the Fogarty biliary balloon catheter. , 1971, Radiology.

[8]  W. Bean,et al.  Removal of a Residual Stone from the Common Bile Duct without Surgery , 1971, Annals of surgery.

[9]  C. Magarey.  Non-surgical removal of retained biliary calculi. , 1971, Lancet.

[10]  J. Fennessy,et al.  A method for the expulsion of stones retained in the common bile duct. , 1970, The American journal of roentgenology, radium therapy, and nuclear medicine.

[11]  R. Mazzariello.  Removal of residual biliary tract calculi without reoperation. , 1970, Surgery.

[12]  Schulenburg Ca.  Operative cholangiography: 1,000 cases. , 1969, Surgery.

[13]  C. Magarey.  Removal of retained bile‐duct calculus without operation. A case report , 1969, The British journal of surgery.

[14]  G. Dowdy.  The biliary tract , 1969 .

[15]  R. Anderson,et al.  Uses of the balloon-tipped catheter in biliary tract surgery. , 1969, American journal of surgery.

[16]  A. Letton,et al.  Retained common duct stones: a new nonoperative technique for treatment. , 1969, Surgery.

[17]  F. Ingelfinger.  Digestive disease as a national problem. V. Gallstones. , 1968, Gastroenterology.

[18]  Najarian Js,et al.  REMOVAL OF PLUG FROM T-TUBE BY FLUOROSCOPICALLY CONTROLLED CATHETER; REPORT OF A CASE. , 1965 .

[19]  Hicken Nf,et al.  OPERATIVE CHOLANGIOGRAPHY AS AN AID IN REDUCING THE INCIDENCE OF "OVERLOOKED" COMMON BILE DUCT STONES: A STUDY OF 1,293 CHOLEDOCHOLITHOTOMIES. , 1964 .

[20]  A. Rains.  Surgery of Biliary Tract , 1964 .

[21]  J. B. Mark,et al.  Cinefluorography of T-tube extractions. , 1963, Surgery.

[22]  M. K. Bartlett,et al.  Residual common duct stones. , 1960, Surgery.

[23]  Colcock Bp,et al.  Experiences with 1,356 cases of cholecystitis and cholelithiasis. , 1955 .

[24]  A. Segel,et al.  Operative cholangiography: an evaluation of 406 cases. , 1951, Annals of surgery.

[25]  B. Pribram.  The method for dissolution of common duct stones remaining after operation. , 1947, Surgery.

[26]  B. Pribram.  ETHER TREATMENT OF GALL-STONES IMPACTED IN THE COMMON DUCT , 1939 .