EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY AND ENDOSCOPY - COMBINED THERAPY FOR PROBLEMATIC BILE-DUCT STONES

被引：12

作者：

HARZ, C ^{[1
]}

HENKEL, TO ^{[1
]}

KOHRMANN, KU ^{[1
]}

PIMENTEL, F ^{[1
]}

ALKEN, P ^{[1
]}

MANEGOLD, BC ^{[1
]}

机构：

[1] UNIV HEIDELBERG,KLINIKUM MANNHEIM,FAK KLIN MED,ENDOSKOPIE ABT,POSTFACH 23,W-6800 MANNHEIM 1,GERMANY

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1991年 / 5卷 / 04期

关键词：

BILE DUCT STONES; ESWL; ENDOSCOPY;

D O I：

10.1007/BF02653263

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Endoscopic treatment of bile duct stones is currently successful in 86% of patients. We prospectively studied the efficacy and complication rate of extracorporeal shock-wave lithotripsy (ESWL) of problematic bile duct stones combined with endoscopy. When stone removal was not possible, patients were subjected to ESWL. Fragmented stones were removed endoscopically. During 1 year, 220 patients presenting with choledocholithiasis were diagnosed and 188 were successfully treated endoscopically. In all, 3 subjects received alternative treatment and the remaining 29 (13%) constituted our study group; 19 (65%) were women and the mean age was 76.7 years. Overall, 22 (76%) were high-risk patients; 23 (79%) were jaundiced and 9 (31%) had cholangitis at admission. The most frequent indication for ESWL was stone size. Stone fragmentation was achieved in 80% of cases. Complications were mild and were managed conservatively. No patient died. Complete stone clearance was possible in 23 (80%) cases. The association of ESWL and endoscopy enhanced the success rate of endoscopic stone clearance from 86% to 96%. During the same period, open surgery was performed in 4 cases for residual common bile duct (CBD) stones and in 32 cases in association with simultaneous cholecystectomy.

引用

页码：196 / 199

页数：4

共 14 条

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