Notre expérience du traitement chirurgical de la lithiase de la voie biliaire principale : à propos de 17 cas

Abstract

The aim of this study was to report our experience of the treatment of choledocolithiasis. From january 1985 to december 2004, 17 patients (11 women and 6 men; mean age 50 years, range 13 – 80) among 206 with biliary lithiasis were operated on for choledocolithiasis in our department. Diagnosis was made pre-operatively by abdominal ultrasonography in 88% of cases.The approach was a laparotomy in 15 cases and a right sub costal incision in 2 cases. The procedures performed were 2 transcystic extraction of stones with closure by ESCAT drain, and 15 choledocotomies: 10 vertical choledocotomies and 5 transverse. There was no operative mortality and morbidity. Treatment of choledocolithiasis has new changings with endoscopic sphincterotomy and coelioscopy. However in developing countries, conventional surgery is still the treatment of choice.