PERCUTANEOUS REMOVAL OF BILIARY STONES

被引：7

作者：

GANDINI, G

RIGHI, D

REGGE, D

RECCHIA, S

FERRARIS, A

FRONDA, GR

机构：

[1] Istituto di Radiologia dell'Università di Torino, Torino, 10126

[2] Divisione di Gastroenterologia dell'Ospedale Maggiore San Giovanni Battista e, della Città di Torino, Torino

[3] Prima Clinica Chirurgica dell'Università di Torino, Torino

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1990年 / 13卷 / 04期

关键词：

Bile duct; lithiasis; percutaneous therapy; Biliary intervention; Stone extraction;

D O I：

10.1007/BF02578026

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Since 1983 we have performed percutaneous treatment of biliary lithiasis in 97 patients. Previous retrograde endoscopic procedures were incomplete or infeasible in all patients. Immediate results were excellent resulting in complete resolution of lithiasis in 89 of 97 patients (92%). In 4 patients (4%) partial success was obtained (symptoms subsided although there were nonobstructing residual stones). Percutaneous treatment failed in 1 patient (1%). Three patients died. Complications occurred in 14 of 97 patients (14%) and mortality at 30 days was 3%. Long-term results were evaluated in 71 patients who had at least a 6-month follow-up (mean 31 months and range 6-78 months). Eight of 71 patients (11%) had recurrence of stones and 7 of these were successfully retreated transhepatically. Percutaneous removal of biliary stones is efficacious because it has a high cure rate, a low complication rate, and a mortality rate that compares favorably to that of surgery even though the patients are usually older and in poorer general condition. © 1990 Springer-Verlag New York Inc.

引用

页码：245 / 251

页数：7

共 18 条

[1]

Burhenne J.H., Beker C.D., Malone D.E., Rawat B., Fache S.J., Biliary lithotripsy: Early observations in 106 patients, Radiology, 171, pp. 363-367, (1989)

[2]

Clouse M.E., Stokes K.R., Loe R.G.L., Falchuk K.R., Bile duct stones: Percutaneous transhepatic removal, Radiology, 160, pp. 525-529, (1986)

[3]

Madsen B., Kruse A., Transhepatic versus endoscopic interventional procedures in the biliary tract, Ann Radiol, 29, pp. 153-157, (1986)

[4]

Cesarani F., Gandini G., Righi D., Juliani E., Recchia S., Fronda G.R., High frequency water jet in the treatment of bile duct lithiasis, Radiol Med, 76, pp. 453-457, (1988)

[5]

Gandini G., Cesarani F., Fuliani E., Regge D., Bonardi L., Recchia S., Verme G., Percutaneous transhepatic cholangioscopy with a 2.8 mm fiberscope, Endoscopy, 20, pp. 114-117, (1988)

[6]

Gandini G., Bonardi L., Cesarani F., Gabasio S., Juliani E., Regge D., Righi D., Verme G., The use of methyl tert butil ether (MTBE) in the therapy of biliary cholesterinic lithiasis, J Intervent Radiol, 3, pp. 150-157, (1988)

[7]

Lear J.L., Ring E.A., Macoviac J.A., Baum S., Percutaneous transhepatic electrohydraulic lithotripsy, Radiology, 150, pp. 589-590, (1984)

[8]

Park J.H., Choi B.I., Han M.C., Sung K.B., Choo I.W., Kim C.W., Percutaneous removal of residual intrahepatic stones, Radiology, 163, pp. 619-623, (1987)

[9]

Lygidakis N.J., Surgical approaches to recurrent choledocholithiasis, Am J Surg, 145, pp. 636-639, (1983)

[10]

Choi T.K., Wong J., Ong G.B., The surgical management of primary intrahepatic stones, Br J Surg, 69, pp. 86-90, (1982)

← 1 2 →