Percutaneous Transhepatic Laser Lithotripsy for Biliary Stones in Patients with Altered Biliary Anatomy
| Autor: | Jacob Indu, Vikrama Amitha Kheda, Deepak Bolbandi, Sanjay Govil, Ravisankar Bhat |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Clinical Interventional Radiology ISVIR, Vol 05, Iss 03, Pp 177-181 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2456-4869 0041-1728 |
| DOI: | 10.1055/s-0041-1728985 |
| Popis: | Endoscopic retrograde cholangiopancreatography (ERCP) is the current treatment of choice in bile duct stones. Several factors such as variant anatomy of ampulla and surgical procedures like hepaticojejunostomy limit the success of ERCP in treating bile duct stones. Percutaneous transhepatic laser lithotripsy using interventional radiologic and endourologic techniques, which is uncommon, is a reasonable treatment option in such difficult cases. It is a minimally invasive, safe procedure accompanied by a high success rate, minimal morbidity, and a short hospital stay. We report our technique and experience in a series of three patients who underwent percutaneous transhepatic biliary drainage (PTBD) followed by percutaneous transhepatic laser lithotripsy in an attempt to avoid open surgery when ERCP was technically difficult. |
| Databáze: | Directory of Open Access Journals |
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