Erschienen in:
01.04.2003 | Clinical Investigations
Common Bile Duct Stones Detected After Cholecystectomy:
Advancement into the Duodenum via the Percutaneous Route
verfasst von:
Nevzat Ozcan, Nuri Erdogan, Mevlut Baskol
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 2/2003
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Abstract
Purpose: To report our experience in the
use of percutaneous extraction of common bile duct stones detected in
the post-cholecystectomy period.
Methods: Forty-two
patients in whom endoscopic cannulation and/or sphincterotomy had
failed or could not be done due to several reasons underwent balloon
dilatation of the ampulla of Vater and subsequent advancement of the
stones via the percutaneous transhepatic route or T-tube tract.
Results: The procedure was successful in 42 cases. In three
patients, stones were crushed in the common bile duct and pushed as
fragments into the duodenum. In all cases transient adverse effects
were observed. There were no major complications. All cases were
checked with ultrasonography for 6 months after the procedure.
Conclusion: Percutaneous extraction of common bile duct
stones is an effective method of treatment with a high success rate,
low complication rate and shorter hospital stay. It may serve as an
alternative method in cases where endoscopic removal of stones fails.