Choledocholithiasis Comprehensive Surgical Management
This volume addresses the current lack of knowledge of many general surgeons and trainees in the comprehensive management of patients with choledocholithiasis, with an emphasis on how the surgeon can provide single-stage management for the majority of pat
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Choledocholithiasis
B. Fernando Santos • Nathaniel Soper Editors
Choledocholithiasis Comprehensive Surgical Management
Editors B. Fernando Santos Dartmouth College, Geisel School of Med Hanover NH USA
Nathaniel Soper Northwestern University Chicago IL USA
ISBN 978-3-319-74502-2 ISBN 978-3-319-74503-9 (eBook) https://doi.org/10.1007/978-3-319-74503-9 Library of Congress Control Number: 2018939787 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To my family, Amelia, Lucia, Oliver, and Corrina, Byron and Susy, Jim and Janice, for their endless love and support, and for believing in me. To my mentors, Nat and Eric, and Bill and Ted, for encouraging my interest in biliary stone disease, and for their guidance over the years. To George Berci for inspiring me. —BFS To my wife, Cindy, and the rest of my family, who have allowed me to pursue my academic passion. Also, to the trainees who have allowed me to be part of their lives and, especially, to have taken on the responsibility of mastering the LCBDE curriculum and then push recalcitrant faculty to “do the right thing” for our patients. —NJS
Preface
The management of choledocholithiasis is inherent to the practice of cholecystectomy. During the “open” era of surgery, general surgeons routinely managed this problem with a single-stage operation (open cholecystectomy plus common bile duct exploration), which remains the gold standard for choledocholithiasis. The laparoscopic revolution made cholecystectomy less invasive, but it made the management of choledocholithiasis more complicated. Laparoscopic chola
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