Percutaneous endoscopic cholecystolithotripsy. Work in progress.

Abstract:

:In spite of long-term adjunctive oral dissolution therapy, residual gallstones have been reported in up to 50% of gallstone patients 3 months after extracorporeal shock-wave lithotripsy. Six women and five men, aged 31-75 years, underwent percutaneous endoscopic cholecystolithotripsy between April 1988 and October 1988. The gallbladder was punctured by means of an anterior transperitoneal approach. The tract was dilated, and gallstones were removed with a modified 21-F cholecystoscope under direct visual inspection. Calculi too large for extraction were disintegrated with ultrasound or electrohydraulic lithotripsy. Eight patients were stone-free and two had small residual stones 3 months later; nine were stone-free 6 months after the procedure. Although more invasive than shock-wave lithotripsy, percutaneous endoscopic cholecystolithotripsy has the advantage of immediate removal of more calculi, causes less pain, necessitates less postoperative immobilization, and allows patients to leave the hospital sooner.

journal_name

Radiology

journal_title

Radiology

authors

Hruby W,Stackl W,Urban M,Armbruster C,Marberger M

doi

10.1148/radiology.173.2.2678260

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

477-9

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

173

pub_type

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