Residual Stones of Biliary Duct & Its Prevention / 第三军医大学学报

ABSTRACT

A total of 1,867 patients were admitted or readmitted to this department in the period from January 1976 to November 1982 and 1,081 of them underwent certain biliary surgery for the treatment of biliary lithiasis. The operations of 702 cases out of the 1,081 were performed on the biliary duct, either exlrahepatic or intrahepatic. In 333 cases out of the 702 who received extrahspatic biliary surgery, 20 cases were found to have postoperative residual biliary stones (6%); while in 369 cases out of the 702 who underwent intrahepatic biliary operations, 136 cases were found to have residual stones (36.85%). Altogether 156 cases out of the 702 operated cases suffered from postoperative residual biliary stones and the overall incidence was 22%.The predisposing, causes of the occurrence of residual stones were discussed-In order to prevent or reduce the occurrence of residual stones, the key, as suggested by the authors, is to perform every emergency or selected operation very carefully without leaving any hidden trouble.