Operative Management of Recurrent Choledocholithiasis

Kazuhide Matsushima, David Soybel

Research output: Contribution to journalArticle

6 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)2312-2317
Number of pages6
JournalJournal of Gastrointestinal Surgery
Volume16
Issue number12
DOIs
StatePublished - Dec 1 2012

Fingerprint

Choledocholithiasis
Bile Ducts
Duodenum
Choledochostomy
Common Bile Duct
Drainage

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

Matsushima, Kazuhide ; Soybel, David. / Operative Management of Recurrent Choledocholithiasis. In: Journal of Gastrointestinal Surgery. 2012 ; Vol. 16, No. 12. pp. 2312-2317.
@article{e406039d803e4d87b36eb2ff5016504b,
title = "Operative Management of Recurrent Choledocholithiasis",
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.",
author = "Kazuhide Matsushima and David Soybel",
year = "2012",
month = "12",
day = "1",
doi = "10.1007/s11605-012-1968-5",
language = "English (US)",
volume = "16",
pages = "2312--2317",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York",
number = "12",

}

Operative Management of Recurrent Choledocholithiasis. / Matsushima, Kazuhide; Soybel, David.

In: Journal of Gastrointestinal Surgery, Vol. 16, No. 12, 01.12.2012, p. 2312-2317.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Operative Management of Recurrent Choledocholithiasis

AU - Matsushima, Kazuhide

AU - Soybel, David

PY - 2012/12/1

Y1 - 2012/12/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84870252742&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870252742&partnerID=8YFLogxK

U2 - 10.1007/s11605-012-1968-5

DO - 10.1007/s11605-012-1968-5

M3 - Article

VL - 16

SP - 2312

EP - 2317

JO - Journal of Gastrointestinal Surgery

JF - Journal of Gastrointestinal Surgery

SN - 1091-255X

IS - 12

ER -