[Non-operative extraction of residual stones after surgery on the main biliary pathways. Value of Burhenne-Mazariello's technique (author's transl)]. / Extraction non opératoire en cas de lithiase résiduelle ouverte de la voie biliaire principale. Place actuelle de la technique de Burhenne-Mazariello.

ABSTRACT

Early detection of residual stones in the main biliary pathways during external drainage following surgery has, until recently, required a repeat operation with all its associated technical and psychological problems. Currently, however, Burhenne-Mazariello's nonoperative extraction technique is a very reliable therapeutic measure, as shown by results in 8 cases and those reported by the authors. Furthermore, this technique can be applied by a surgeon isolated in a small centre with the minimum of material, with a high probability of success. Other conservative techniques, particularly instillations through the external drain, are still valid and can be complementary to Burhenne's method, which for the authors, however, remains the therapy of choice.