Effect of percutaneous transhepatic one-step biliary fistulation combined with rigid choledochoscopy in the treatment of benign hepatic bile duct strictures
10.3760/cma.j.cn113884-20230308-00071
- VernacularTitle:经皮经肝Ⅰ期胆道造瘘联合硬质胆道镜治疗肝胆管狭窄的近远期疗效分析
- Author:
Yongqing YE
1
;
Jun FENG
;
Enze LI
;
Jinglin GONG
;
Ping WANG
Author Information
1. 广州医科大学附属第一医院肝胆外科，广州 510120
- Keywords:
Bile ducts;
Hepatic bile duct stricture;
Percutaneous transhepatic one step biliary fistulation;
Clinical efficacy
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(7):528-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the therapeutic effect of percutaneous transhepatic one-step biliary fistulation (PTOBF) combined with rigid choledochoscopy in the treatment of benign hepatic bile duct strictures.Methods:The clinical data of 46 patients with hepatic ductal stenosis and stones undergoing PTOBF combined with rigid choledochoscopy at the First Hospital of Guangzhou Medical University between September 2016 and September 2022 were retrospectively analyzed, including 20 males and 26 females, aged (48.5±17.6) years. The location of stones and strictures, stone retrieval rate, postoperative complications, stricture release rate, stone recurrence rate, and reoperation rate were analyzed to access the safety and effectiveness of this procedure.Results:A total of 58 sites of stenoses were found in 46 patients, and PTOBF lithotripsy combined with rigid choledochoscopy were performed for 77 times. The early postoperative complication rate was 19.6% (9/46), and the stenosis release rate was 93.5% (43/46). The mean follow-up time was (28.1±19.6) months, the complete stone retrieval rate was 91.3% (42/46), the stone recurrence rate was 19.6% (9/46), the reoperation rate was 8.7% (4/46), and the long-term postoperative complication rate was 6.5% (3/46).Conclusion:PTOBF combined with rigid choledochoscopic stenoplasty for benign hepatic duct strictures is a safe and feasible procedure to reduce the stone recurrence and long-term postoperative complications.
