Abstract
The clinical presentations of common bile duct stones (CBDS) can vary widely: patients with large impacted stones may present as asymptomatic, while other patients may be severely ill with cholangiogenic sepsis or necrotizing biliary pancreatitis due to small stones in the papilla of Vater. Sometimes clinical symptoms of CBDS are residual signs of spontaneous passage with complete clearance of the CBD and without the need for further therapy. In these times of laparoscopic cholecystectomy without routinely performed intraoperative cholangiography, preoperative diagnosis is more important especially because therapeutic splitting with preoperative endoscopic retrograde cholangiopancreatography (ERCP) and clearance of the CBD followed by laparoscopic cholecystectomy is the most frequently applied technique, at least in surveys in Scotland (96.2%) and Germany (94.2%) [1, 2].
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Treckmann, J., Broelsch, C.E., Paul, A. (2008). Clinical Pictures of Common Bile Duct Stones. In: Biliary Lithiasis. Springer, Milano. https://doi.org/10.1007/978-88-470-0763-5_22
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DOI: https://doi.org/10.1007/978-88-470-0763-5_22
Publisher Name: Springer, Milano
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