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Usefulness of Percutaneous Transhepatic Cholangioscopic Lithotomy for Removal of Difficult Common Bile Duct Stones
Clinical Endoscopy ; : 65-70, 2013.
Article in English | WPRIM | ID: wpr-195029
ABSTRACT
BACKGROUND/

AIMS:

Approximately 5% to 10% of common bile duct (CBD) stones are difficult to remove by conventional endoscopic methods. Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) can be an alternative method for this condition, but is not well established yet. The aim of this study was to evaluate the clinical efficacy and safety of PTCSL for removal of difficult CBD stones.

METHODS:

This study is a retrospective review of 34 consecutive patients who underwent unsuccessful removal of CBD stones using conventional endoscopic methods between December 2008 and July 2010 and were subsequently treated using PTCSL.

RESULTS:

Among 443 patients with CBD stones, 34 patients (7.8%) failed to achieve stone removal using conventional endoscopic methods. Of these 34 patients, 33 were treated using PTCSL. In all 33 cases (100%), complete stone removal was achieved using PTCSL. Most complications (15/17, 88.2%) were mild and transient. Major complications occurred in two patients (6.1%) who experienced hemobilia, and percutaneous transhepatic biliary drainage tract disruption, respectively; which were fully recovered without mortality.

CONCLUSIONS:

Despite prolonged hospital stay and temporary decline of quality of life, PTCSL is an effective and safe method in the management of difficult CBD stones, especially in patients with difficulty in approaching the affected bile duct.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Quality of Life / Bile Ducts / Drainage / Retrospective Studies / Common Bile Duct / Hemobilia / Length of Stay Type of study: Observational study Limits: Humans Language: English Journal: Clinical Endoscopy Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Quality of Life / Bile Ducts / Drainage / Retrospective Studies / Common Bile Duct / Hemobilia / Length of Stay Type of study: Observational study Limits: Humans Language: English Journal: Clinical Endoscopy Year: 2013 Type: Article