Residual Stones in the Common Bile Duct: The Question of Operative Cholangiograms

Johnston, Edward V.; Waugh, John M.; Good, C. Allen

doi:10.1097/00000658-195403000-00006

Cited by 49 publications

(1 citation statement)

References 8 publications

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“…Johnston et al (1954) reported that 6 cases of his suspected recurrent stone cases remained asymptomatic for 14 months to 8 years following the previous operations, with a mean of 3.6 years , while in 12 assessed as residual stone cases, the asymptomatic period was 22 months at the longest , showing a mean of 7 months. Glenn (1972) , on the other hand, noted one year or longer as the postoperatively asymptomatic period for his recurrent stone cases .…”

Section: Results Of Present Operationsmentioning

confidence: 99%

Problems of Retained Calculi in the Bile Duct

Sato¹,

Matsushiro²,

Suzuki³

et al. 1975

Tohoku J. Exp. Med.

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A study of 68 patients subjected to re -surgery for residual or recurrent gallstones provided the following results:Among the 68 patients, the stones were recurrent in only 4, residual in 38, and uncertain but mostly suggesting residual in the other 26 cases. In many of the residual stone cases , the previous operations were cholecystectomy alone, retrospectively suggesting insufficient search for residual stones and other abnormalities in the biliary tract during the operations.Of the 4 recurrent stone cases, 3 of them showed bile duct stricture, papillary stenosis and idiopathic choledochus dilatation, respectively, while the remaining one, though free of any sign of bile stasis, had a gallstone formed around a silk-thread core. The indications for additional sphincteroplasty and biliodigestive anastomosis in re-operations were strictly consistent with those in the first operations.Seven operative fatal cases (10%) were mostly those of long persistent gallstones with serious hepatic failure. The follow-up studies in 53 patients showed as many as 51 cases returning to the preoperative occupation without any significant complaints.These results emphatically suggest that retained gallstone cases should be referred to surgical treatment as early as possible. intrahepatic gallstone; residual stone; calcium bilirubinate stone; fatty acid calcium stone; sphincteroplasty

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Section: Results Of Present Operationsmentioning

confidence: 99%