NONOPERATIVE TREATMENT FOR RESIDUAL BILIARY STONES:A STUDY OF POSTOPERATIVE LITHOTOMY WITH A CHOLANGIOSCOPE
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概要
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For residual biliary stones, washing of the biliary tract with saline, heparinized saline or solvent agents has been used, but it has not been very effective.<BR>We obtained good results in extraction of residual biliary stones by using a cholangioscope postoperatively.<BR>Thirty-one patients with residual biliary stones (11 with choledocholithiasis, and 20 with hepaticolithiasis) have been treated by cholangioscopic extraction.<BR>We succeeded in the extraction in 90.9% of the patients with common bile duct stones, and 90.0 % of the patients with intrahepatic bile duct stones.<BR>In the treatment for hepaticolithiasis, we usually cannot remove all of the stones at the time of the operation, so that we have to perform a convenient operation in order to remove the stones postoperatively.<BR>Our operation, transjejunal intubation to the intrahepatic bile duct with a Silicon tube (over 7mm) through the choledochojejunostomy, is one of the most effective and safest procedures for the postoperative cholangioscopic extraction of residual biliary stones.
- 北関東医学会の論文
北関東医学会 | 論文
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