Abstract
When stones are found in the bile ducts long after the first CBD operation has been done, the T-tube tract is healed and Burhenne’s method of retrieval cannot be applied. The options then available to the surgeon are: endoscopic radiographic cholangio-pancreatogram (ERCP)-papillotomy, transabdominal choledocholithotomy, biliary-intestinal bypass, or sphincteroplasty. The pros and cons of these procedures are discussed below.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Akiyama H, Ikezawa S, Kameya S et al. Unexpected problems of external choledochoduodenostomy: fiber-scopic examination in 15 patients. Am J Surg 1980; 140: 660.
Bartlett MK, Nardi GL. Treatment of recurrent pancreatitis by transduodenal sphincterotomy and exploration of the pancreatic duct. N Engl J Med 1960;262:643.
Bergdahl L, Holmlund DEW. Retained bile duct stones. Acta Chir Scand 1976; 142:145.
Bismuth H, Franco D, Corlette MB et al. Long term results of Roux-en-y hepaticojejunostomy. Surg Gynecol Obstet 1978; 146:161.
Burhenne HJ. Nonoperative retained biliary tract stone extraction: a new roentgenologic technique. Am J Roentgenol Radium Ther Nucl Med 1973; 117:388.
Dayton MT, Traverso LW, Longmire WP Jr. Efficacy of the gallbladder for drainage in biliary obstruction: a comparison of malignant and benign disease. Arch Surg 1980; 115:1086.
Degenshein GA. Choledochoduodenostomy: an 18 year study of 175 consecutive cases. Surgery 1974;76:319.
Girard RM, Legros G. Retained and recurrent bile duct stones; surgical or nonsurgical removal? Ann Surg 1981;193:150.
Hutchinson WB. Duodenotomy. Am J Surg 1971;122:777.
Jones SA. The prevention and treatment of recurrent bile duct stones by transduodenal sphincteroplasty. World J Surg 1978;2:473.
Kraus MA, Wilson SD. Choledochoduodenostomy: importance of common duct size and occurrence of cholangitis. Arch Surg 1980;115:1212.
Longmire WP Jr. The diverse causes of biliary obstruction and their remedies. Curr Probl Surg 1977; 14:5.
Madden LJ. Primary common bile duct stones. World J Surg 1978;2:465.
Moody FG, Berenson MM, McCloskey D. Transam-pullary septectomy for postcholecystectomy pain. Ann Surg 1977;186:415.
Nardi GL, Acosta JM. Papillitis as a cause of pancreatitis and abdominal pain: role of evocative test, operative pancreatography and histologic evaluation. Ann Surg 1966; 164:611.
Nardi GL, Michelassi F, Zanni P. Transduodenal sphincteroplasty. Ann Surg 1983; 198:453.
Partington PF. Twenty-three years experience with sphincterotomy and sphincteroplasty for stenosis of the sphincter of Oddi. Surg Gynecol Obstet 1977; 145:161.
Reiter JJ, Bayer HP, Mennicken C et al. Results of endoscopic papillotomy: a collective experience from nine endoscopic centers in West Germany. World J Surg 1978;2:505.
Rolfsmeyer ES, Bubrick MP, Kollitz PR et al. The value of operative cholangiography. Surg Gynecol Obstet 1982; 154:369.
Saharia PC, Zuidema GD, Cameron JL. Primary common duct stones. Ann Surg 1977;185:598.
Schein CJ. Postcholecystectomy syndromes. New York: Harper & Row; 1978.
Schein CJ, Gliedman ML. Choledochoduodenostomy as an adjunct to choledocholithotomy. Surg Gynecol Obstet 1981;152:797.
Thomas CG Jr, Nicholson CP, Owen J. Effectiveness of choledochoduodenostomy and transduodenal sphincterotomy in the treatment of benign obstruction of the common duct. Ann Surg 1971; 173:845.
White TT. Indications for sphincteroplasty as opposed to choledochoduodenostomy. Am J Surg 1973; 126:165.
White TT, Harrison RC. Reoperative gastrointestinal surgery. Boston: Little, Brown; 1973.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer Science+Business Media New York
About this chapter
Cite this chapter
Chassin, J.L. (1994). Concept: When to Perform Other Operations on the Common Bile Duct (CBD). In: Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4169-8_64
Download citation
DOI: https://doi.org/10.1007/978-1-4757-4169-8_64
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-4171-1
Online ISBN: 978-1-4757-4169-8
eBook Packages: Springer Book Archive