TY - JOUR
T1 - Percutaneous cholecystolithotomy
T2 - Analysis of results and complications in 58 consecutive patients
AU - Picus, D.
AU - Hicks, M. E.
AU - Darcy, M. D.
AU - Vesely, T. M.
AU - Kleinhoffer, M. A.
AU - Aliperti, G.
AU - Edmundowicz, S. A.
PY - 1992/1/1
Y1 - 1992/1/1
N2 - Percutaneous cholecystolithotomy was attempted in 58 consecutive patients. Patients were considered for percutaneous cholecystolithotomy only if they had symptomatic gallstones and a strong contraindication to surgical cholecystectomy. The procedure consisted of three parts: (a) initial percutaneous cholecystostomy, (b) tract dilation and stone removal, and (c) tract evaluation and tube removal. Local anesthesia and intravenously administered analgesia were used in all procedures. Percutaneous cholecystolithotomy was successful in removing all of the stones in 56 patients (97%), including cystic duct calculi in 15 patients and common duct calculi in 10 patients. Major complications occurred in five patients (9%); in four cases, they were related to bile leakage after the cholecystostomy tube was removed. Thirty-day mortality was 3% (two patients). Advantages of percutaneous cholecystolithotomy include avoidance of general anesthesia and the ability to treat patients in any disease setting, including acute cholecystitis. Percutaneous cholecystolithotomy, although technically demanding, is an effective alternative to surgical cholecystectomy in elderly and debilitated patients.
AB - Percutaneous cholecystolithotomy was attempted in 58 consecutive patients. Patients were considered for percutaneous cholecystolithotomy only if they had symptomatic gallstones and a strong contraindication to surgical cholecystectomy. The procedure consisted of three parts: (a) initial percutaneous cholecystostomy, (b) tract dilation and stone removal, and (c) tract evaluation and tube removal. Local anesthesia and intravenously administered analgesia were used in all procedures. Percutaneous cholecystolithotomy was successful in removing all of the stones in 56 patients (97%), including cystic duct calculi in 15 patients and common duct calculi in 10 patients. Major complications occurred in five patients (9%); in four cases, they were related to bile leakage after the cholecystostomy tube was removed. Thirty-day mortality was 3% (two patients). Advantages of percutaneous cholecystolithotomy include avoidance of general anesthesia and the ability to treat patients in any disease setting, including acute cholecystitis. Percutaneous cholecystolithotomy, although technically demanding, is an effective alternative to surgical cholecystectomy in elderly and debilitated patients.
KW - Cholecystitis
KW - Gallbladder, calculi
KW - Gallbladder, interventional procedure
UR - http://www.scopus.com/inward/record.url?scp=0026770928&partnerID=8YFLogxK
U2 - 10.1148/radiology.183.3.1533946
DO - 10.1148/radiology.183.3.1533946
M3 - Article
C2 - 1533946
AN - SCOPUS:0026770928
VL - 183
SP - 779
EP - 784
JO - Radiology
JF - Radiology
SN - 0033-8419
IS - 3
ER -