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Anatomy G.I.T 8fc1322f

The procedure of choice for elective removal of CBD stones for most patients is

A
Open choledocholithotomy
B
Laparoscopic choledocholithotomy
C
Endoscopic choledocholithotomy
D
Percutaneous choledocholithotomy
High-Yield Explanation
Elective definitive treatment Cholecystectomy with choledochotomy and CBD exploration T-tube is left in place for cholangiography and removal of any retained stone T-tube cholangiogram is done on 7th - 10th day Post-operatively Remove the T-tube if cholangiogram is normal If residual stone is discovered on the postoperative cholangiogram, T-tube should be left in place for 4-6 weeks for the tract to mature The stones are removed percutaneously through the matured tract by Burhenne's technique Ref: Sabiston 20th edition Pgno : 1511

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