The Factors Influencing the Treatment Results of Residual & Recurrent Biliary Stones.
- Author:
Dongwoo SHIN
1
;
Deokbok MOON
;
Sanggeol KIM
;
Yunjin HWANG
;
Youngkook YUN
Author Information
1. Department of Surgery, Kyungpook National University Hospital, Daegu, Korea.
- Publication Type:Original Article
- Keywords:
Biliary stone;
Residual stone;
Recurrent stone;
Multidisciplinary treatment
- MeSH:
Humans;
Multivariate Analysis;
Prognosis
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2002;6(1):59-66
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: There has been a lot of controversy about the treatment methods in the management of residual & recurrent biliary stones. So we performed the study to clarify the important factors in choosing the treatment modality of the residual & recurrent biliary stones. METHODS: 154 patients who were diagnosed as residual or recurrent biliary stone between January 1995 and August 2000 were divided into 4 groups according to their first re- treatment methods (surgery, stone removal via T-tube, PTBD*, ESTP**) and analyzed the results of these treatments to determine what is the significant factor affecting the prognoses. RESULTS: The necessity of the second re-treatment for residual & recurrent stones was affected by the complete- ness of stone removal only, and no other factors affected it in view of multivariate analysis. The rate of residual & recurrent stones among the patients who have had the first operation in our department was 6.7%. Furthermore the clearance rate of residual & recurrent stones was relatively high value (82.2%), as a result of multidisciplinary treatments. CONCLUSION: Thus, as long as the residual stones can be removed completely, any treatment modality can be applied to these patients. We don't have to insist on surgery.
