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KMID : 0614619930250050987
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Korean Journal of Gastroenterology
1993 Volume.25 No. 5 p.987 ~ p.996
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Clinical Analysis of the Non-Operative Extraction of Biliary Residual Stones Using Dormia Basket
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Abstract
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Residual stones after biliary tract surgery were a formidable task for surgeons. So several nonoperative procedures have developed for the management of this problem. Among these procedures, extraction of residual stones using Dormia Basket was
increased more and more because of the low morbidity and high success rates.
This report is an analysis of 60 patients who underwent residual stone extraction using Dormia Basket from February 1989 through August 1992. There were 23 men and 37 female, whose age ranged from 29 to 74 years. The incidence was 12 cases at the
6th
decade, 9 cases at the 5th decade in order of frequency. the most common symptom was RUQ pain (96.7%). Stone extraction using Dormia Basket was performed 110 times. Mean interval between the operation and the stone extraction was 51.8 days. The
mean
interval between each procedure was 11.7 days. Biliary stenosis was detected in 33 patients and dilatation was detected in 51 patients. Success rates of stone extraction was 83.3%. The major causes of failure were impacted stones in 14 cases,
ductal
stenosis in 14 cases and large stone in 5 cases and the complications were RUQ pain in 16 cases and diarrhea in 14 cases but they improved progressively.
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