A Clinical Review and Comparative Study of CBD Exploration and Percutaneous Transhepatic Stone Removal for Management in Recurrent Biliary Stone.
- Author:
Ji Hyoun LEE
1
;
Yong Keum PARK
;
In Taik CHANG
;
Hyung Jin SHIM
;
Sang Wook YI
Author Information
1. Department of Surgery, College of Medicine, Chung Ang University, Seoul, Korea. citokkr@yahoo.co.kr
- Publication Type:Comparative Study ; Original Article
- Keywords:
Percutaneous transhepatic biliary drainage;
Common bile duct exploration;
Recurrent bile duct stone
- MeSH:
Bile Ducts;
Biliary Tract;
Common Bile Duct;
Humans;
Length of Stay;
Mortality;
Reoperation;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2003;65(2):131-139
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recurrent bile duct stones, following biliary surgery, cause many difficult problems and reoperation on the biliary tract has limitation due to high mortality and morbidity. In recent years, various non-operative modalities for the management of recurrent stone have been developed and reoperation on biliary. This study was designed to determine the factors contributing to the success rate, and to investigate the optimal treatment method, of reccurrent biliary stones. METHODS: Thirty-nine patients, treated by percutaneous transhepatic stone removal (PTBD group), and 42 treated by a common bile duct exploration (operation group), at Chung- Ang University Hospital, between January 1999 and August 2002, were retrospectively analyzed. RESULTS: Complete removal (Success) was achieved in 82.1 and 86.1% of the cases of the PTBD and operation groups, respectively. There were no significant differences observed relating to the sex, age, duration of hospital stay, cost, success rate. However, the complication rate was significantly decreased in the PTBD group (8 cases (20.5%) vs. 22 cases (51.2%) P=0.0057). CONCLUSION: Form the comparison of the operation and PTBD groups, similar success rates were observed. Percutaneous transhepatic stone removal is also an effective method for the management of recurrent bile duct stones. After studying more cases, re-evaluation must be performed concerning the potential advantages of percutaneous transhepatic stone removal.
