Ultrasound guided-percutaneous transhepatic cholangioscopic one-stage lithotomy with rigid choledochoscope for hepatolithiasis

doi:10.3877/cma.j.issn.1674-6899.2017.02.006

Abstract

Abstract:

Objective

To analyze the feasibility and efficiency of ultrasound guided-percutaneous transhepatic cholangioscopic (PTCS) one-stage lithotomy with rigid choledochoscope for the treatment of hepatolithiasis.

Methods

From Jan. 2013 to Jan. 2016. Twenty one cases of hepatolithiasis patients were enrolled. All of them were treated by PTCS one-stage lithotomy with rigid choledochoscope. Clinical data were collected and analyzed retrospectively.

Results

All surgeries were successful without conversion. All the stones were removed eventually in 85.7% (18/21), 14 cases(66.7%) achieved this clearance in one episode. The mean operation time was(95.7 ± 21.0)min. Mean blood loss was(15.1 ± 7.6)ml. Average hospital stay was(11.6 ± 4.3)d. Four patients suffered from mild to moderate complications. All of them were managed properly, with no major impact on the final outcome. All patients were followed-up for 8 to 44 months. 4 cases(19.0%) of recurrences were noticed.

Conclusions

Ultrasound guided PTCS one-stage lithotomy with rigid choledochoscope was a safe and feasible procedure. It was minimally invasive and highly efficient which result in shortening patients′ hospital stay. Therefore it might be a worthy alternative for the treatment of hepatolithiasis.

Key words: Hepatolithiasis, Percutaneous transhepatic cholangiostomy, Choledochoscope, Lithotomy

Binggen Li, Xuankun Liang, Minjie Qiu, Xiangyang Nie, Yonghui Peng, Duhui Gong, Zhihua Xie, Yuxuan Mo, Daqiang Li. Ultrasound guided-percutaneous transhepatic cholangioscopic one-stage lithotomy with rigid choledochoscope for hepatolithiasis[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(02): 85-88.

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References 15

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