Concept: When to Perform Other Operations on the Common Bile Duct (CBD)

  • Jameson L. Chassin


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.


Common Bile Duct Bile Duct Stone Common Bile Duct Exploration Distal Common Bile Duct Biliary Dyskinesia 
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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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