지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 65 - 70 (6page)
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초록· 키워드
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Background/Aims: Approximately 5% to 10% of common bile duct (CBD) stones are difficult to remove by conventional endoscopic methods. Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) can be an alternative method for this condition, but is not well established yet. The aim of this study was to evaluate the clinical efficacy and safety of PTCSL for removal of difficult CBD stones.
Methods: This study is a retrospective review of 34 consecutive patients who underwent unsuccessful removal of CBD stones using conventional endoscopic methods between December 2008 and July 2010 and were subsequently treated using PTCSL.
Results: Among 443 patients with CBD stones, 34 patients (7.8%) failed to achieve stone removal using conventional endoscopic methods.
Of these 34 patients, 33 were treated using PTCSL. In all 33 cases (100%), complete stone removal was achieved using PTCSL. Most complications (15/17, 88.2%) were mild and transient. Major complications occurred in two patients (6.1%) who experienced hemobilia,and percutaneous transhepatic biliary drainage tract disruption, respectively; which were fully recovered without mortality.
Conclusions: Despite prolonged hospital stay and temporary decline of quality of life, PTCSL is an effective and safe method in the management of difficult CBD stones, especially in patients with difficulty in approaching the affected bile duct.
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참고문헌 (23)
참고문헌 신청
Adamek HE / 1995 / Clinical comparison of extracorporeal piezoelectric lithotripsy (EPL) and intracorporeal electrohydraulic lithotripsy (EHL) in difficult bile duct stones:
Adamek HE / 1996 / Management of retained bile duct stones: a prospective open trial comparing extracorporeal and intracorporeal lithotripsy / Gastrointest Endosc 44 : 40 ~ 4
Arya N / 2004 / Electrohydraulic lithotripsy in 111 patients: a safe and effective therapy for difficult bile duct stones / Am J Gastroenterol 99 : 2330 ~ 2334
Binmoeller KF / 2001 / Endoscopic management of bile duct stones / J Clin Gastroenterol 32 : 106 ~ 118
Chen YK / 2007 / SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders: a clinical feasibility study (with vide
Adamek HE / 1996 / Management of retained bile duct stones: a prospective open trial comparing extracorporeal and intracorporeal lithotripsy / Gastrointest Endosc 44 : 40 ~ 4
Arya N / 2004 / Electrohydraulic lithotripsy in 111 patients: a safe and effective therapy for difficult bile duct stones / Am J Gastroenterol 99 : 2330 ~ 2334
Binmoeller KF / 2001 / Endoscopic management of bile duct stones / J Clin Gastroenterol 32 : 106 ~ 118
Chen YK / 2007 / SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders: a clinical feasibility study (with vide
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