Percutaneous management of residual bile duct stones through T-tube tract after cholecystectomy: A retrospective analysis of 89 patients
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- 作者：N. Ozcana ; nevzatcan@yahoo.com ; G. Kahrimana ; guvenkahriman@hotmail.com ; O. Karabiyikb ; drozgurk2712@gmail.com ; H. Donmeza ; hdonmez68@yahoo.com ; E. Emekc ; drertanemek@gmail.com
- 关键词：Biliary calculi ; Common bile duct ; Cholecystectomy ; Stone extraction ; Percutaneous procedure
- 刊名：Diagnostic and Interventional Imaging
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：98
- 期：2
- 页码：149-153
- 全文大小：1070 K
- 卷排序：98
文摘
The purpose of this study was to analyze the outcome of percutaneous management of residual common bile duct (CBD) stones in patients with surgically inserted T-tube in CBD after cholecystectomy.Material and methodsBetween April 2001 and August 2015, 89 patients (52 women, 37 men) with a mean age of 55.7 years ± 18 (SD) (range, 22–88 years) underwent percutaneous sphincteroplasty and stone expulsion into the duodenum with a Fogarty balloon catheter through the T-tube tract for residual CBD stones. All patients had previously undergone open cholecystectomy with CBD exploration and T-tube insertion 7 to 60 days (mean, 14.4 days) before the procedure. Results of the procedure and complications were evaluated by a review of clinical notes, imaging and laboratory findings.ResultsThe procedure was successful in 87/89 patients (97.7%). Complete CBD clearance was achieved in a first session in 86 patients (96.6%). One patient (1.1%) needed a second session. The procedure was unsuccessful in 2 patients (2.2%) due to inappropriate position of T-tube and stone impaction into the cystic duct remnant. Two complications (2.2%) including intra-abdominal bile collection and distal CBD stricture were observed after the procedure.ConclusionPercutaneous CBD expulsion into the duodenum through the T-tube tract is a non-traumatic, effective and safe method for the treatment of residual CBD stones in patients who had cholecystectomy and T-tube insertion.