Surgical Treatment of CBD Stones


  • Chakrapan Euanorasetr Deportment of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University Bangkok 10400 Thailand.


                With the current advances in laparoscopic and endoscopic surgery, common bile duct stones may be removed by endoscopic technique. But this technique is not available in most hospital in Thailand, so most Thai surgeons still have to confront with this problem frequently in their surgical practice.

                There are several procedures to be considered after common bile duct exploration for common bile duct stones. Primary closure of the common bile duct, T-Tube drainage, Tramsduodenal sphincteroplasty, Supraduodenal choledochoduodenostomy and Roux-en-Y choledochojejunostomy are among the popular and useful procedures to deal with problems related to common bile duct exploration.

                These procedures should not be considered as simple alternative or additional procedures because the indication for each is different, although with an area of overlap. The surgeons should select each procedure individually to best serve individual need of the patient and not to provide all patients with only one procedure for all circumstances.


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How to Cite

Euanorasetr C. Surgical Treatment of CBD Stones. Thai J Surg [Internet]. 1998 Jun. 30 [cited 2022 Dec. 7];19(2):51-62. Available from:



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