NONOPERATIVE RETAINED BILIARY TRACT STONE EXTRACTION

Author:
  • HBH. Joachim Burhenne
    H. Joachim Burhenne
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Abstract
Our experience with 20 cases of nonoperative retained biliary tract stone extractions is presented.†An improved instrumentation technique through a steerable catheter under roentgenologic control is described.A second surgical intervention for stone removal became unnecessary in all but 1 of our 20 patients undergoing this new roentgenologic technique.All 19 patients have remained asymptomatic after stone removal.The technique was unsuccessful in 1 patient due to our inability to catheterize a tortuous T-tube drain tract.Compared to re-operation or attempts of stone dissolution, extraction under roentgenologic control in the ambulatory patient is the method of choice for the treatment of retained biliary tract stones.