Common bile duct stones

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José De Vinatea de Cárdenas
Fernando Revoredo Rego


Previously, when a surgeon diagnosed bile duct lithiasis, he/she performed cholecystectomy, choledocotomy, stone removal and placement of a Kehr’s “T” tube. Some cases might require sphincteroplasty or bilio-digestive bypass. Nowadays, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, endoscopic ultrasound and intraoperative ultrasound have
emerged as diagnostic and therapeutic tools. Decision-making processes are complex and there is no conclusive evidence supporting them. Many studies have focused on the matter with a non-comprehensive approach so that each surgeon will use his/her common sense for each individual case.
The optimal management of the common bile duct is still controversial. Deciding on endoscopic, laparoscopic or conventional management requires adequate training and clinical judgment. Conventional surgery is still in valid option.


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How to Cite
De Vinatea de Cárdenas, J., & Revoredo Rego, F. (2021). Common bile duct stones. Revista Argentina De Cirugía, 112(4), 398–405. (Original work published March 16, 2021)
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