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NONOPERATIVE RETAINED BILIARY TRACT STONE EXTRACTION

A NEW ROENTGENOLOGIC TECHNIQUE

H. JOACHIM BURHENNE M.D.

Our experience with 20 cases of nonoperative retained biliary tract stone extractions is presented.dagger

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.


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