Cholangioscopy-guided electrohydraulic lithotripsy of a large bile duct stone through a percutaneous T-tube tract

摘要

The management of common bile duct (CBD) stones in apatient with altered surgical anatomy can be challenging.1-3A 73-year-old man with a history of Roux-en-Y partialgastrectomy and previous anterior resection for rectalcancer underwent a CT scan for abdominal pain and jaundice that demonstrated stones in the gallbladder and CBD.He underwent open cholecystectomy and intraoperativecholedochoscopy, during which a stone was removedfrom the CBD, and a T-tube was left in place.