Abstract
Removal of residual biliary tract stones through the T-tube tract is discussed, with emphasis upon specific problems encountered in a series of 44 cases. Basket retrieval or fragmentation is the method of choice, due to its lack of mortality and minimal morbidity. Solvents such as heparin or saline may be helpful in dissolving soft stones. The remainder may require repeat surgery. It is suggested that large T-tubes be used in preference to small ones, especially if there is any suspicion that residual stones are present.
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