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Combined Fluoroendoscopic Removal of Retained Biliary Stones
George Berci, MD;
J. Andrew Hamlin, MD;
Warren S. Grundfest, MD
Arch Surg. 1983;118(12):1395-1397.
Abstract
• Sixty-one patients were referred in the postoperative period for stone extraction through the T-tube tract. In four patients the calculi passed spontaneously. One patient had a papilloma and another a blood clot mimicking a stone. Of the remaining 55 cases, all but three were successfully treated by removal of all calculi from the ductal system, a success rate of 94.5%. No major complications occurred in this series. We believe the combined fluoroendoscopic approach to be the preferred method of extracting stones throught the T-tube tract because of the greater precision possible when manipulating under direct vision and the reduction in radiation exposure of patients and personnel.
(Arch Surg (1983;118:1395-1397)
Author Affiliations
From the Departments of Surgery (Drs Berci and Grundfest) and Radiology (Dr Hamlin), Cedars-Sinai Medical Center, Los Angeles.
Footnotes
Accepted for publication Aug 3, 1983.
Read before the Annual Meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 15, 1983.
Reprint requests to Department of Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA (Dr Berci).
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