Resumo

DE VINATEA DE CARDENAS, José  e  REVOREDO REGO, Fernando. Common bile duct stones. Rev. argent. cir. [online]. 2020, vol.112, n.4, pp.398-406. ISSN 2250-639X.  http://dx.doi.org/10.25132/raac.v112.n4.andev.

Previously, when a surgeon diagnosed bile duct lithiasis, he/she performed cholecystectomy, chole docotomy, stone removal and placement of a Kehr’s “T” tube. Some cases might require sphinctero plasty or bilio-digestive bypass. Nowadays, magnetic resonance cholangiopancreatography, endosco pic 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-compre hensive 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, lapa roscopic or conventional management requires adequate training and clinical judgment. Conventional surgery is still in valid option.

Palavras-chave : Biliary stone; Hepatic stone; Ductal stone.

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