Korean Journal of Radiology

  • 제12권2호
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  • Pages.210-215
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  • 2011
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Fluoroscopy-Guided Percutaneous Gallstone Removal Using a 12-Fr Sheath in High-Risk Surgical Patients with Acute Cholecystitis

  • Kim, Young-Hwan (Department of Radiology, Keimyung University, College of Medicine) ;
  • Kim, Yong-Joo (Department of Radiology, Andong General Hospital) ;
  • Shin, Tae-Beom (Department of Radiology, Gyeongsang National University, College of Medicine)
  • 발행 : 2011.04.01
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: To evaluate the technical feasibility and clinical efficacy of percutaneous transhepatic cholecystolithotomy under fluoroscopic guidance in high-risk surgical patients with acute cholecystitis. Materials and Methods: Sixty-three consecutive patients of high surgical risk with acute calculous cholecystitis underwent percutaneous transhepatic gallstone removal under conscious sedation. The stones were extracted through the 12-Fr sheath using a Wittich nitinol stone basket under fluoroscopic guidance on three days after performing a percutaneous cholecystostomy. Large or hard stones were fragmented using either the snare guide wire technique or the metallic cannula technique. Results: Gallstones were successfully removed from 59 of the 63 patients (94%). Reasons for stone removal failure included the inability to grasp a large stone in two patients, and the loss of tract during the procedure in two patients with a contracted gallbladder. The mean hospitalization duration was 7.3 days for acute cholecystitis patients and 9.4 days for gallbladder empyema patients. Bile peritonitis requiring percutaneous drainage developed in two patients. No symptomatic recurrence occurred during follow-up (mean, 608.3 days). Conclusion: Fluoroscopy-guided percutaneous gallstone removal using a 12-Fr sheath is technically feasible and clinically effective in high-risk surgical patients with acute cholecystitis.

키워드

참고문헌

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피인용 문헌

  1. Percutaneous cholecystoscopy and internal rendezvous for removal of gallstones and common bile duct stones (with video) vol.76, pp.2, 2011, https://doi.org/10.1016/j.gie.2011.07.074
  2. Ultrasound-guided double-tract percutaneous cholecystostomy combined with a choledochoscope for performing cholecystolithotomies in high-risk surgical patients vol.28, pp.7, 2011, https://doi.org/10.1007/s00464-014-3451-8
  3. Interventional Approaches to Gallbladder Disease vol.373, pp.4, 2011, https://doi.org/10.1056/nejmra1411372
  4. Endoscopic-Laparoscopic Cholecystolithotomy in Treatment of Cholecystolithiasis Compared With Traditional Laparoscopic Cholecystectomy vol.26, pp.5, 2016, https://doi.org/10.1097/sle.0000000000000305
  5. Hybrid Percutaneous-Endoscopic Treatment for Acute Calculous Cholecystitis in a High-Risk Surgical Patient vol.4, pp.None, 2017, https://doi.org/10.14309/crj.2017.89
  6. Risk factors for gallbladder contractility after cholecystolithotomy in elderly high-risk surgical patients vol.12, pp.None, 2017, https://doi.org/10.2147/cia.s125139
  7. Management After Percutaneous Cholecystostomy: What Should We do With the Catheter? vol.28, pp.4, 2011, https://doi.org/10.1097/sle.0000000000000559
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