Postoperative T-tube tract choledochoscopy

Tina J Hieken, Desmond H. Birkett

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

One hundred twenty-six patients underwent postoperative fiberoptic T-tube tract choledochoscopy for the management of retained biliary calculi as demonstrated by T-tube cholangiography. Extraction was successful in 94% of patients with retained stones. Thirty-nine patients had more than 1 stone, 20 patients had hepatic duct stones, and 14 patients had large stones requiring electrohydraulic lithotripsy or laser fragmentation. Stone removal was not possible in six patients, secondary to either slippage of the T-tube with obliteration of the tract, inability to remove the stones with available instruments, a tortuous tract, or choledochoscope malfunction. Minor complications, most commonly transient fever, occurred in 12 patients. No serious complications or deaths occurred. The advantages of T-tube tract choledochoscopy include direct visualization of the biliary tree, avoidance of radiation exposure, and easy access to hepatic duct stones. This is the preferred method for treating retained biliary calculi in patients with a T-tube in situ.

Original languageEnglish (US)
Pages (from-to)28-31
Number of pages4
JournalThe American Journal of Surgery
Volume163
Issue number1
DOIs
StatePublished - 1992
Externally publishedYes

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Common Hepatic Duct
Gallstones
Laser Lithotripsy
Cholangiography
Biliary Tract
Fever
Radiation Exposure

ASJC Scopus subject areas

  • Surgery

Cite this

Postoperative T-tube tract choledochoscopy. / Hieken, Tina J; Birkett, Desmond H.

In: The American Journal of Surgery, Vol. 163, No. 1, 1992, p. 28-31.

Research output: Contribution to journalArticle

Hieken, Tina J ; Birkett, Desmond H. / Postoperative T-tube tract choledochoscopy. In: The American Journal of Surgery. 1992 ; Vol. 163, No. 1. pp. 28-31.
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