One stage percutaneous transhepatic rigid choledochoscope lithotomy (PTCSL) vs ERCP plus EST for choledocholithiasis
10.3670.cma.j.issn.1007-631X.2019.08.009
- VernacularTitle:一次性经皮经肝胆道硬镜取石与ERCP治疗胆总管结石的临床研究
- Author:
Tianling FANG
1
;
Yanmin LIU
;
Anzhong LIU
;
Huiqing WEN
;
Canhua ZHU
;
Jun LI
Author Information
1. 广州医科大学附属第一医院肝胆胰外科 510120
- Keywords:
Choledocholithiasis;
Cholangiopancreatography,endoscopic retrograde;
Sphincterotomy,endoscopic
- From:
Chinese Journal of General Surgery
2019;34(8):679-681
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effect on patients with choledocholithiasis by percutaneous transhepatic rigid choledochoscope lithotomy (PTCSL) vs endoscopic retrograde cholangiopancreatography (ERCP) plus EST.Methods From Jan 2010 to Dec 2015,92 cases of choledocholithiasis were treated by one-stage PTCSL (n =23) vs ERCP (n =69).The curative effects and postoperative complications in two groups were observed and analyzed.Results In PTCSL group,the complete stone clearance at one-time achieved in all 23 cases (100％).While in ERCP group stone clearance was achieved in 72.46％ cases at first attempt and the final clearance rate was 82.60％,leaving 12 cases with residual stones and among those 12 cases 5 cases were converted to surgical operation.The average intra-operative hemorrhage in two groups was (20.6 ± 4.6) ml vs (3.0 ± 0.3) ml,and the average hospital stay after operation was 6.8 d and 7 d respectively.The post-operative complications (30.43％) and stone recurrence (13.04％) were similar in the two groups.Conclusions PTCSL is safe,effective,and more suitable to patients with large stones and those with a history of biliary surgeries.
