Percutaneous Transhepatic Cholecystolithotomy by Holmium Laser for Non-high-Risk Patients with Symptomatic Gallbladder Stones.

Autor:	Binh NT; Radiology Center, Hanoi Medical University Hospital, Hanoi, Vietnam., Ly NL; Radiology Center, Hanoi Medical University Hospital, Hanoi, Vietnam., Hien PN; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam., Linh LT; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam., Lenh BV; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam., Duc NM; Department of Radiology, Pham Ngoc Thach University of Medicine, Hanoi, Vietnam.
Jazyk:	angličtina
Zdroj:	Medical archives (Sarajevo, Bosnia and Herzegovina) [Med Arch] 2022 Feb; Vol. 76 (1), pp. 29-33.
DOI:	10.5455/medarh.2022.76.29-33
Abstrakt:	Background: The development of gallstones, also known as cholelithiasis, is one of the most common diseases associated with the gastrointestinal tract. In developing countries 10% to 15% of men and >25% of women experience gallstones. Objective: The aim of the study was to evaluate the outcomes following percutaneous transhepatic cholecystolithotomy by holmium laser in non-high-risk patients with symptomatic gallbladder stones. Methods: This was an intervention study without control and with longitudinal follow-up. Subjects included patients who had only gallbladder stones, a normal gallbladder contractility index, and required a conservative treatment. Results: The study included 44 patients (20 men, 24 women), with a mean age of 41.5 ± 13.4 years. The success rate was 97.7%, and only 1 of 44 patients required follow-up laparoscopic cholecystectomy. Gallstones were successfully removed from 43 of 44 patients (97.7%). The complication rate was 13.6% (6/44 patients), and only minor complications were reported for 5 of the 6 patients with complications. In 34 of 43 patients, follow-up examinations were performed after 1 and 6 months. The gallstone recurrence rate at six-month follow-up was 11.8%, and a collapsed gallbladder was detected in 1 of 34 patients, with the remaining 33 patients retaining normal gallbladder contractility indices (>40%). Conclusion: Percutaneous transhepatic cholecystolithotomy by holmium laser has a high gallstone removal rate (97.7%); however, recurrence remains a major problem. The complication rate was about 13.6%, most of which were minor complications. Cases associated with treatment failure or serious complications should be detected and treated promptly. Competing Interests: There are no conflicts of interest to declare. (© 2022 Nguyen Thai Binh, Ngo-Thi Ly Ly, Phan Nhan Hien, Le Tuan Linh, Bui-Van Lenh, Nguyen Minh Duc.)
Databáze:	MEDLINE
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