Protocol-Driven Management of Suspected Common Duct Stones.


BACKGROUND Common duct stones can be diagnosed by magnetic resonance cholangiopancreatography (MRCP), endoscopic ultrasound (EUS)/ERCP, and intraoperative cholangiogram (IOC). In 2015, our group adopted a standard approach of preoperative EUS/ERCP followed by laparoscopic cholecystectomy for patients with an admission bilirubin >4.0 mg/dL. For bilirubin <4… (More)
DOI: 10.1016/j.jamcollsurg.2016.12.040