Operative Management of Recurrent Choledocholithiasis

Kazuhide Matsushima, David I. Soybel

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Introduction: With the advent of endoscopic and image-directed percutaneous approaches, it is increasingly uncommon to require a surgical approach for recurrent bile duct stones. Technique: 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. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)2312-2317
Number of pages6
JournalJournal of Gastrointestinal Surgery
Issue number12
StatePublished - Dec 2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology


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