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Endoscopic sphincterotomy in cholecystectomized patients current trends



Endoscopic sphincterotomy in cholecystectomized patients current trends



Acta Chirurgica Italica 42(3): 361-367



Two groups of patients operated on for recurrent or retained common bile duct stones are examined and compared. The first group is made up of 94 patients who underwent traditional surgery for biliary tract disease; in the second group 318 cases of endoscopic sphincterotomy performed during the past five years are examined. The post-operative complications, the average time of hospitalization, the number of urgent reoperations and the mortality rate are taken into consideration. The results are compared with clinical, haematochemical and radiologic examinations performed also at a later date. Our personal experience, in accordance with Literature, has shown that the treatment of choice for lithiasic disease of the common bile duct after cholecystectomy is endoscopic sphincterotomy. In fact the immediate and mortal complications are fewer and the post-operative period is better and shorter. The results obtained from these two technics, however, seem to be similar.

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Accession: 005359610

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