December 1983

Combined Fluoroendoscopic Removal of Retained Biliary Stones

Author Affiliations

From the Departments of Surgery (Drs Berci and Grundfest) and Radiology (Dr Hamlin), Cedars-Sinai Medical Center, Los Angeles.

Arch Surg. 1983;118(12):1395-1397. doi:10.1001/archsurg.1983.01390120025007

• 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)