Percutaneous transhepatic approach for intrahepatic and extrahepatic bile duct stones: a clinical analysis of 19 cases
10.3969/j.issn.1001-5256.2015.10.031
- VernacularTitle:经皮经肝胆管引流术联合经皮经肝胆道镜治疗肝内外胆管结石的效果分析
- Author:
Xiangchao CHENG
1
;
Qidong YUAN
;
Jianhong ZHAO
Author Information
1. Department of General Surgery, The Third People′s Hospital of Henan Province, Zhengzhou 450006, China
- Publication Type:Research Article
- Keywords:
bile ducts, intrahepatic;
bile ducts, extrahepatic;
cholecithiasis;
drainage
- From:
Journal of Clinical Hepatology
2015;31(10):1685-1687
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the feasibility and efficacy of percutaneous transhepatic approach in the treatment of intrahepatic and extrahepatic bile duct stones. MethodsNineteen patients with bile duct stones who were treated in our hospital from January 2000 to October 2014 were enrolled as subjects. In the treatment of bile duct stones, all patients received percutaneous transhepatic approach combined with the application of cholangioscopy and lithotripsy equipment. ResultsIn the 19 patients, 12 had the stones successfully removed in a single session, 5 had the stones completely removed through the liver sinus in three sessions, and 2 had residual stones in intrahepatic tertiary bile ducts. The success rate of lithotomy reached 89.47%(17/19). ConclusionThe percutaneous transhepatic approach achieves minor surgical invasion and slight pain in the treatment of bile duct stones, which can be selectively used based on patients′ condition.