TY  - JOUR
T1  - THe surgical management of impacted common bile duct stones without sphincter ablation
AU  - Thompson JE, Jr, Bennion RS
Y1  - 1989/10/01
N1  - 10.1001/archsurg.1989.01410100122021
JO  - Archives of Surgery
SP  - 1216
EP  - 1220
VL  - 124
IS  - 10
N2  - • Thirty-two consecutive patients with impacted ampullary or distal common bile duct stones were managed prospectively. Preoperative indications for surgery were obstructive jaundice in 13 patients (40.6%), acute cholangitis in 7 patients (21.9%), biliary pancreatitis in 6 patients (18.8%), acute cholecystitis in 5 patients (15.6%), and chronic cholecystitis in 1 patient (3.1%). No patient had a prior cholecystectomy, and all stones were removed retrograde during cholecystectomy and open-duct exploration. There were no deaths, one retained stone in the biliary radicals, two episodes of mild pancreatitis, one superficial wound infection, and one minor bile leak. All patients have done well on follow-up. This study demonstrated that impacted biliary stones can be consistently and successfully extracted by the supraduodenal approach with minimal morbidity and no mortality, without resorting to duodenotomy and sphincter ablation.(Arch Surg. 1989;124:1216-1220)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410100122021
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410100122021
ER  -