BMJ (Clinical research ed.) · 1990
Percutaneous cholecystolithotomy: the first 60 patients.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Chiverton S G, Inglis J A, Hudd C, Kellett M J, Russell R C, Wickham J E
Аннотация
OBJECTIVE: To assess the feasibility and possible complications of percutaneous removal of gall stones.
DESIGN: Prospective study of the first 60 patients treated.
SETTING: The London Clinic.
PATIENTS: 60 Consecutive patients with symptomatic gall stones who agreed to have them removed percutaneously.
RESULTS: 56 Patients had stones successfully removed percutaneously. In four patients failure of access necessitated a cholecystectomy under the same anaesthetic. Two patients had an empyema of the gall bladder drained initially, followed by a second operation to remove the stones one week later. Seven patients had postoperative complications, and two had recurrences of biliary calculi.
CONCLUSIONS: The techniques and instruments used in percutaneous nephrolithotomy can successfully be adapted for percutaneous removal of gall stones. The procedure is suitable for a wider range of patients than other techniques that leave the gall bladder intact.
DESIGN: Prospective study of the first 60 patients treated.
SETTING: The London Clinic.
PATIENTS: 60 Consecutive patients with symptomatic gall stones who agreed to have them removed percutaneously.
RESULTS: 56 Patients had stones successfully removed percutaneously. In four patients failure of access necessitated a cholecystectomy under the same anaesthetic. Two patients had an empyema of the gall bladder drained initially, followed by a second operation to remove the stones one week later. Seven patients had postoperative complications, and two had recurrences of biliary calculi.
CONCLUSIONS: The techniques and instruments used in percutaneous nephrolithotomy can successfully be adapted for percutaneous removal of gall stones. The procedure is suitable for a wider range of patients than other techniques that leave the gall bladder intact.