Surgical interventions for bile duct stones |
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| Affiliation: | 1. Department of Digestive, Oncological and Metabolic Surgery, Ambroise Paré-AP–HP Hospital, 92100 Boulogne-Billancourt, France;2. UFR des sciences de la Santé Simone Veil, Versailles-Saint-Quentin-en-Yvelines University, Paris-Saclay University, 78000 Versailles, France;1. Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan;2. Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Shimane, Japan;3. Department of Molecular and Developmental Biology, Kawasaki Medical School, Okayama, Japan;4. Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital, Okayama, Japan |
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| Abstract: | Based on our experience of 420 common bile duct procedures for stone disease and a literature review, it is evident that treatment of common duct stones today is based on a wide variety of non-operative and surgical methods which are still being developed. The mode of treatment is basically related to the time of diagnosis. Methods also differ depending on the localization of calculi, on inflammatory complications of stone disease, and whether combined or isolated cholecystocholedocholithiasis is present. At the moment, traditional operative methods as well as newly developed advanced techniques have to be evaluated. Selection of patients and their appropriate surgical and non-surgical treatment is an important issue to be further developed in the next few years. Therefore, therapeutic indications and definitive therapy present a much more demanding challenge for the surgeon than in the period when only open surgery was available. |
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