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Japanese

Laparoscopic Choledochotomy, Stone Removal, and T Tube Placement Toshiyuki MORI 1 , Nobuhiko HATANO 1 , Masanori SUGIYAMA 1 , Yutaka ATOMI 1 1Department of Surgery Ⅰ, Kyorin University School of Medicine Keyword: 総胆管結石症 , 腹腔鏡下手術 , Tチューブ留置術 pp.367-371
Published Date 1998/10/15
DOI https://doi.org/10.11477/mf.4425900221
  • Abstract
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Laparoscopic choledochotomy, stone removal, and T tube placement is indicated when postoperative choledocoscopy via the T tube tract is needed, including when retaining CBD stones are strongly suspected, or when endoscopic stone removal through the duodenal papilla is not technically feasible. For accurate choledochotomy, it is of great help to place stay sutures on the both side of the incision. When retrieving stones, gentle maneuver is mandatory to avoid CBD injury. The largest T tube that can be inserted through choledochotomy should be selected, and choledochotomy should be closed with absorbable suture material.


Copyright © 1998, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 印刷版ISSN 1341-7266 日本内視鏡外科学会

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