2. Stone extraction via the T-tube 89 3. Endoscopic method 89 4.
Preparation for stone extraction 90 5. Technique 90 6. Results 91 7.
Complications 91 8. Discussion 91 Index of Subjects 99 CHAPTER 1
INTRODUCTION This book was conceived as a descriptive atlas of most
reliable indication for common bile duct ex- routine biliary surgery i.
e., cholecystectomy and ploration. The cholangioscope allows a visual
ex- exploration of the common bile duct. For the pro- ploration of the
biliary tree and permits the re- ject the two authors worked together
for one week moval of common bile duct calculi and other as biopsy under
direct visual con- at Ninewells Hospital and Medical School, Dundee
procedures such on a series of patients with biliary tract disease trol.
Both procedures have been described in detail especially selected for
the exercise. With the con- with emphasis on the practical aspects of
their use. sent of the Tayside Health Board and the patients The era of
blind bilary surgery is over and the concerned, all the operations and
peri-operative sooner this message is received by all concerned,
procedures were filmed by the photographic mem- the better the outcome
of biliary surgical practice bers of the team, Mr. and Mrs. Paz-Partlow.
Ad- overall. ditional case material has been obtained from It has not
been our intention to produce a com- Cedars Sinai Medical Center, Los
Angeles.