Percutaneous management of bile duct stones

Ilgıt, Erhan; Gürel, Kamil; Önal, Baran

doi:10.1016/s0720-048x(02)00159-6

Cited by 20 publications

(27 citation statements)

References 24 publications

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“…A number of modalities including laparoscopic surgery, open surgery, and endoscopic and percutaneous techniques are available for the treatment of bile duct stones [3,[6][7][8][9][10][11][12][13][14][15]. Surgical CBD exploration was the procedure of the choice for the treatment of bile duct stones a few decades ago.…”

Section: Discussionmentioning

confidence: 99%

“…Common bile duct (CBD) stones may occur in up to [3][4][5][6][7][8][9][10][11][12][13][14].7% of all cholecystectomy patients [1,2]. Hepatolithiasis is a rare disease of the intrahepatic bile ducts; it is endemic in East Asia but is now occasionally recognized in Western societies [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…However, it is difficult or impossible to perform endoscopic procedure when biliary duct cannot be accessed because of a duodenal diverticulum or previous gastrointestinal surgery, and in the presence of the large and impacted stones, and stones situated in the intrahepatic bile ducts [6][7][8][9][10]. In such cases, percutaneous transhepatic stone removal is another important technique in the nonoperative management of bile duct stones [6,[9][10][11][12]. We present our experience in the percutaneous expulsion of bile duct stones into the duodenum through the papilla of Vater in 261 symptomatic patients.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Transhepatic Removal of Bile Duct Stones: Results of 261 Patients

Özcan

Kahriman

Mavili

2011

Cardiovasc Intervent Radiol

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Transhepatic Removal of Bile Duct Stones: Results of 261 Patients

Özcan

Kahriman

Mavili

2011

Cardiovasc Intervent Radiol

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“…Percutaneous transhepatic removal of CBD stones is a minimally invasive alternative for surgical treatment. This approach is not commonly used for patients in whom ERCP treatment is not possible and only a few studies have reported the results of this procedure [17,18,19,20,21,22,23]. …”

Section: Introductionmentioning

confidence: 99%

Percutaneous Treatment of Common Bile Duct Stones: Results and Complications in 110 Consecutive Patients

et al. 2015

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Background/Aims: Choledocholithiasis is a common complication of cholecystolithiasis, occurring in 15-20% of patients who have gallbladder stones. Endoscopic retrograde cholangio-pancreatography is the standard treatment. When this is not possible or not feasible, percutaneous transhepatic stone removal is an alternative treatment. In this retrospective study, we analyze 110 patients who were treated with percutaneous transhepatic removal of Common Bile Duct (CBD) stones. Patients and Methods: Between March 1998 and September 2013 110 patients (61 men, 49 women; aged 14-96, mean age 69.7 years) with confirmed bile duct stones were included. PTC was done using ultrasound and fluoroscopy. Balloon dilatation of the papilla was done with 8-12 mm balloons. If stone size exceeded 10 mm, mechanical lithotripsy was performed. Stones were then removed by percutaneous extraction or evacuation into the duodenum. Results: In 104 patients (104/110; 94.5%) total stone clearance of the CBD was achieved. A total of 12 complications occurred (10.9%), graded with the Clavien-Dindo scale as IVa, IVb, and V, respectively; hypoxia requiring resuscitation, sepsis and death due to ongoing cholangiosepsis (n = 1, 4, 1). Minor complications I, II, and IIIa included: small liver abscess, pleural empyema, transient hemobilia and mild fever (n = 1, 1, 2, 2). Conclusion: Percutaneous removal of CBD stones is an effective alternative treatment, when endoscopic treatment is contra-indicated, fails or is not feasible. It is effective, has a low complication rate and using deep sedation potentially requires only a very limited number of treatment sessions.

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“…In such cases, percutaneous transhepatic stone removal is an alternative method for the management of CBD stones. Although high success rates of percutaneous transhepatic biliary stone removal have been reported in adult populations (18)(19)(20), there have been no studies about percutaneous bile duct stone removal in children. Percutaneous transhepatic biliary procedures are often challenging in children, particularly in newborn, due to the small size of bile ducts.…”

Section: Discussionmentioning

confidence: 99%