Contemporary 'urologic' intervention in the pancreaticobiliary tree

Autor: Lee Ponsky, Stevan B. Streem, Jeffrey L. Ponsky, Michael A. Geisinger
Rok vydání: 2001
Předmět:
Zdroj: Urology. 57:21-25
ISSN: 0090-4295
DOI: 10.1016/s0090-4295(00)00888-8
Popis: Objectives. To evaluate the role of minimally invasive “urologic” interventional techniques for the treatment of pancreaticobiliary calculi in contemporary practice. Methods. Fourteen patients with retained cystic duct (n = 2), hepatic duct (n = 5), common duct (n = 2), pancreatic duct (n = 4), or gallbladder (n = 1) calculi were treated with 19 procedures, including shock wave lithotripsy (n = 9) and percutaneous flexible endoscopy with electrohydraulic or holmium laser lithotripsy (n = 10). Previous attempts using standard gastroenterologic or radiologic interventions before the urologic referral had failed in all 14 patients. Results. A successful result, defined by the resolution of stones and symptoms, was achieved in 12 patients (86%); 2 patients (14%) had residual calculi that ultimately required an open operative procedure. The hospital stay for each intervention was 0 to 2 nights, and no patients had any significant complications. Conclusions. Even in this age of advanced gastroenterologic technology, including laparoscopic cholecystectomy, endoscopic retrograde cholangiopancreatoscopy, and percutaneous transhepatic cholangiography, the urologist can play a significant role in the minimally invasive treatment of patients with complicated biliary disease such that the need for open operative “salvage” procedures will be further minimized.
Databáze: OpenAIRE
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