The use of a rigid choledochoscope in exploration of the common bile duct

Ernst, Donna; Windsor, C. W. O.

doi:10.1002/bjs.1800690810

Cited by 11 publications

(2 citation statements)

References 9 publications

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“…This oc curred in 11 % of our cases, a percentage somewhat lower than that reported by other authors [16][17][18][19][20]. who de scribed it in 14-24% of their cases.…”

Section: Discussioncontrasting

confidence: 53%

Choledochoscopy Reduces Unnecessary Papillary Surgery

Campos¹,

Paricio²,

Ayllón³

et al. 1992

Dig Surg

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We present 200 patients, from the period January 1988 to July 1990, who received surgery for biliary lithiasis and required opening of the common bile duct. The patients were divided into two groups according to the methods used for bile duct exploration. In one group, the duct was explored using conventional methods (n = 100), and in the other group (n = 100) the same exploratory techniques were used, but with the subsequent addition of rigid choledochoscopy. The use of the choledochoscope led to a statistically significant decrease in the number of papillotomies (p <0.0l) (8% in the group with choledochoscopy and 21 % in the group without choledochoscopy) and a decrease, but not statistically significant, in the percentage of residual stones (1.6% in the group with and 6.9% in the group without choledochoscopy).

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“…This oc curred in 11 % of our cases, a percentage somewhat lower than that reported by other authors [16][17][18][19][20]. who de scribed it in 14-24% of their cases.…”

Section: Discussioncontrasting

confidence: 53%

Choledochoscopy Reduces Unnecessary Papillary Surgery

Campos¹,

Paricio²,

Ayllón³

et al. 1992

Dig Surg

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“…Rigid and flexible choledochoscopes have been used for detection and treatment of bile duct stones with good results. [11][12][13][14] In a comparison of the two modalities it was believed that the rigid instrument has practical advantages for general use, whereas the flexible instrument may offer some additional benefits but requires more skill and care in its use.l" In our institution at the time of the patient's operation a flexible choledochoscope was not available. Clearly the method of therapy needs to be tailored to the cause of the individual patient's problem, mode of presentation, skill and experience of the surgeon, and institution's available equipment.…”

Section: Discussionmentioning

confidence: 99%

Modification of a Choledochoscope for Extraction of Difficult Biliary Stones

Roth

Mann

Gerhard

et al. 2001

The American Surgeon

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Cholelithiasis is a common problem in the United States, affecting 10 to 15 per cent of the population. Although only one per cent of these patients have intrahepatic gallstones their discovery intraoperatively may present a technical challenge for the surgeon. This paper describes a simple method for dislodging difficult intrahepatic biliary stones: modification of a rigid choledochoscope to permit use of a biliary Fogarty catheter and Segura basket under direct visualization.

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Choledochoscopy: Are stones missed? A controlled study

Gartell

McGinn

1984

Journal of British Surgery

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Although the choledochoscope has been available for several years, its use had not achieved universal acceptance. Enthusiasts claim that the incidence of retained stones in the common bile duct would be reduced by using the instrument, but no controlled study by the same team has been reported. Patients undergoing biliary surgery by one surgical team in Southampton were operated upon in one of three hospitals. The choledochoscope was available for use at only one hospital, but the other two were otherwise fully equipped, and no selection of patients was made for any particular hospital. Over a period of 7 years, 707 patients underwent elective or emergency cholecystectomy. Routine choledochography was performed and stones were found or suspected in the bile ducts in 103 (14.6 per cent). The choledochoscope was used in 54 of the bile duct explorations and in 10 patients residual calculi following routine exploration were identified by the instrument. Postoperative T-tube choledochography was performed in 35 patients following choledochoscopy, 31 with choledocholithiasis at operation, and no unsuspected retained stones were demonstrated. In the 49 patients undergoing duct exploration by the same team without the choledochoscope, 32 were found to have choledocholithiasis. Thirty-six postoperative choledochograms were performed and six patients were found to have retained stones. There were no additional complications attributed to the use of the instrument. We conclude that the use of the choledochoscope should reduce the incidence of retained bile duct stones.

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The use of a rigid choledochoscope in exploration of the common bile duct

Cited by 11 publications

References 9 publications

Choledochoscopy Reduces Unnecessary Papillary Surgery

Choledochoscopy Reduces Unnecessary Papillary Surgery

Modification of a Choledochoscope for Extraction of Difficult Biliary Stones

Choledochoscopy: Are stones missed? A controlled study

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