Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
J Gastrointest Surg. 2012 Dec;16(12):2312-7. doi: 10.1007/s11605-012-1968-5. Epub 2012 Aug 21.
With the advent of endoscopic and image-directed percutaneous approaches, it is increasingly uncommon to require a surgical approach for recurrent bile duct stones.
We describe open side-to-side choledochoduodenostomy as one of the surgical options for recurrent bile duct stones. This procedure includes the following elements: exposure of the common bile duct, mobilization of the duodenum (Kocher maneuver), choledochotomy, inspection of the bile duct with a choledochoscopy, and anastomosis of the bile duct with the duodenum. Other options for operative management are discussed.
Surgical drainage procedures for recurrent bile duct stones can be performed for patients who fail to respond to endoscopic and nonoperative interventional treatments with good long-term outcomes.
随着内镜和影像引导的经皮途径的出现，对于复发性胆管结石，越来越不需要手术方法了。
我们将开放性胆肠侧侧吻合术描述为复发性胆管结石的手术选择之一。该手术包括以下步骤：显露胆总管、游离十二指肠（Kocher 手法）、胆总管切开、胆道镜检查胆管、胆管与十二指肠吻合。还讨论了其他手术治疗方法。
对于内镜和非手术介入治疗失败的复发性胆管结石患者，可以采用外科引流术，其长期疗效良好。
