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Journal of Gastrointestinal Surgery

, Volume 16, Issue 12, pp 2312–2317 | Cite as

Operative Management of Recurrent Choledocholithiasis

  • Kazuhide Matsushima
  • David I. Soybel
HOW I DO IT

Abstract

Introduction

With the advent of endoscopic and image-directed percutaneous approaches, it is increasingly uncommon to require a surgical approach for recurrent bile duct stones.

Technique

We describe open side-to-side choledochoduodenostomy as one of the surgical options for recurrent bile duct stones. This procedure includes the following elements: exposure of the common bile duct, mobilization of the duodenum (Kocher maneuver), choledochotomy, inspection of the bile duct with a choledochoscopy, and anastomosis of the bile duct with the duodenum. Other options for operative management are discussed.

Conclusion

Surgical drainage procedures for recurrent bile duct stones can be performed for patients who fail to respond to endoscopic and nonoperative interventional treatments with good long-term outcomes.

Keywords

Recurrent bile duct stone Operative management Biliary drainage 

Notes

Conflict of interest

None.

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Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  1. 1.Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA
  2. 2.HersheyUSA

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