Modified percutaneous cholecystolithotripsy and its indications
- VernacularTitle:经皮胆镜碎石清除术的术式及适应证
- Author:
Wuji YANG
;
Anguo HU
;
Zhiwei LI
- Publication Type:Journal Article
- Keywords:
Cholelithiasis;
Lithotripsy;
Surgical procedures, endoscopic
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the traditional percutaneous cholecystolithotripsy in order to elevate the success rate and to discuss its indications. Methods With selfmade apparatus, we modified the open procedure which is otherwise impossible in removing the stones. We have followed 120 patients for 3 to 36 months to look into the recurrence of cholelithiasis. Results We have succeeded in 287 operations in a total of 291 (98 6%) cases. Among which 99 cases (34 5%) received modified open procedures, and the postoperative course was all uneventful. 120 patients were followed up postoperatively from 3 to 36 months and the stone recurrence rate was 13 3% (16 cases). Statistical analysis showed that the stone recurrence rate in patients with 3 stones and up, or poor gallbladder function was significantly higher than those with less than 3 stones and or good gallbladder function.Conclusions The percutaneous cholecystolithotripsy with improved procedures can effectively increase the success rate of operation. According to our result the indications should be restricted to those with less than 3 stones and or with good gallbladder functions.
