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  • Title: [Surgical treatment of common bile duct calculosis: a comparative critical evaluation of long-term results of sphincterotomy and choledochotomy approaches].
    Author: Pandolfi U, Benedetti M, Lago TF.
    Journal: Chir Ital; 1992; 44(1-2):3-22. PubMed ID: 1394745.
    Abstract:
    From an analysis of operations performed by the Authors between 1974 and 1988, sphincterotomy emerged as the operation of choice given the small percentage of complications compared to the higher percentage of complications that arose with choledochotomy with external biliary derivation, in which use of the Kehr tube is hardly ever directly implicated. However the results of choledochotomy shown also demonstrate a possible improvement through better intraoperative procedures or by complementary endoscopic sphincterotomy where indicated; hence this procedure with external biliary deviation, according to the Authors, merits reevaluation.
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