The Potential Of External Bile Duct Drainage In Obstructive Jaundice

Abstract

This article is dedicated to the problem of external drainage of the bile ducts. Numerous attempts have been made to improve drainage tubes; however, it has not been possible to eliminate the method's shortcomings, and their correction falls within the purview of endoscopists. The treatment outcomes of 514 patients with cholelithiasis were analyzed to study the frequency and type of external bile duct drainage. The disadvantages of external bile duct drainage after choledocholithotomy fueled surgeons' desire for preoperative bile duct clearance. This led to a two-stage approach for treating cholelithiasis, incorporating endoscopic papillotomy, lithotripsy, and other procedures into clinical practice. Although initially met with resistance from surgeons, these techniques were gradually adopted into the practice of city and district hospitals decades later.