PERCUTANEOUS CHOLEDOCHOSCOPIC BILIARY-TRACT STONE REMOVAL - EXPERIENCE IN 645 CONSECUTIVE PATIENTS

被引：41

作者：

HWANG, MH ^{[1
]}

TSAI, CC ^{[1
]}

MO, LR ^{[1
]}

YANG, CT ^{[1
]}

YEH, YH ^{[1
]}

YAU, MP ^{[1
]}

YUEH, SK ^{[1
]}

机构：

[1] SHOW CHWAN MEM HOSP,DEPT SURG,CHANGHUA,TAIWAN

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 1993年 / 17卷 / 03期

关键词：

BILE DUCTS; CALCULI; INTERVENTIONAL PROCEDURE; STONE EXTRACTION; ENDOSCOPY; COMPARATIVE STUDY; LITHOTRIPSY;

D O I：

10.1016/0720-048X(93)90101-R

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Our experience in non-operative retrieval of biliary tract stones through PTCS (percutaneous transhepatic cholangioscopy, n = 103) and POC (post-operative choledochoscopy, n = 542) plus the use of Dormia basket and EHL (electrohydraulic lithotripsy) is presented. The results of transhepatic and T-tube routes are compared, with emphasis on the technical difficulties encountered. The success rates were 96% and 97% in POC and PTCS, respectively. No mortality was related to these procedures. Intrahepatic duct angulation and stricture were the factors most often responsible for failure. Postoperative choledochoscopic stone removal is safe and the method of choice for retained biliary tract calculi, while PTCS is highly indicated for those high-risk patients with or without previous biliary surgery. POC and PTCS have, therefore, their own indications and differ in their clinical applications.

引用

页码：184 / 190

页数：7

共 26 条

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