Biomedical subjects

I R Goco

Publications and source records attributed to I R Goco.

3 recordsLinked to original sources

PubMed1990

Common duct stone push-through.

Most common duct stones are located below the junction of the cystic duct and the common bile duct. We describe a technique of trans-cystic-duct manipulation of stones through the ampulla of Vater and into the duodenum which we have termed common duct stone push-through (CDSPT). A balloon catheter is inflated above the stone and pushed into the duodenum several times. Successful manipulation of the stone into the duodenum is confirmed by repeat cholangiography. Stones were successfully manipulated by CDSPT in seven patients over a brief period starting June 1988.

Catheterization↗

PubMed1988

Dollars and cents: minicholecystectomy and early discharge.

We present minicholecystectomy as a means of cost containment and discharge from the hospital 24 to 48 hours later. Among 450 patients undergoing this form of cholecystectomy through a 4 cm incision, only 49 stayed longer than an average of 1.2 days; all of those patients had preexisting surgical problems, some of which were corrected concurrently. Forty-two patients were admitted on the morning of the day of operation and stayed an average of 1.07 days. The mortality was 1/450 (0.2%); the complication rate was 3.1%. We have found the shorter and earlier procedure an excellent and safe means of cost containment and recommend that earlier discharge be considered for other procedures as well.

Adolescent↗

PubMed1978

Removal of a common duct stone with a "filet" T-tube.

In a patient who had had cholecystectomy, a common duct stone was removed with a filet T-tube, the open limbs of the tube closing around the stone so that it could be pulled out along the track of the T-tube stem. The maneuver was successfully repeated in a dog. The use of the filet tube is recommended when a T-tube is to be placed in the common duct.

Adult↗