Percutaneous management of residual bile duct stones through T-tube tract after cholecystectomy: A retrospective analysis of 89 patients
DIAGNOSTIC AND INTERVENTIONAL IMAGING, cilt.98, sa.2, ss.149-153, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 98 Sayı: 2
- Basım Tarihi: 2017
- Doi Numarası: 10.1016/j.diii.2016.05.007
- Dergi Adı: DIAGNOSTIC AND INTERVENTIONAL IMAGING
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.149-153
- Anahtar Kelimeler: Biliary calculi, Common bile duct, Cholecystectomy, Stone extraction, Percutaneous procedure
- Erciyes Üniversitesi Adresli: Evet
Özet
Purpose: The purpose of this study was to analyze the outcome of percutaneous management of residual common bile duct (CBD) stones in patients with surgically inserted T-tube in CBD after cholecystectomy. Material and methods: Between April 2001 and August 2015, 89 patients (52 women, 37 men) with a mean age of 55.7 years +/- 18 (SD) (range, 22-88 years) underwent percutaneous sphincteroplasty and stone expulsion into the duodenum with a Fogarty balloon catheter through the T-tube tract for residual CBD stones. All patients had previously undergone open cholecystectomy with CBD exploration and T-tube insertion 7 to 60 days (mean, 14.4 days) before the procedure. Results of the procedure and complications were evaluated by a review of clinical notes, imaging and laboratory findings. Results: The procedure was successful in 87/89 patients (97.7%). Complete CBD clearance was achieved in a first session in 86 patients (96.6%). One patient (1.1%) needed a second session. The procedure was unsuccessful in 2 patients (2.2%) due to inappropriate position of T-tube and stone impaction into the cystic duct remnant. Two complications (2.2%) including intra-abdominal bile collection and distal CBD stricture were observed after the procedure. Conclusion: Percutaneous CBD expulsion into the duodenum through the T-tube tract is a non-traumatic, effective and safe method for the treatment of residual CBD stones in patients who had cholecystectomy and T-tube insertion. (C) 2016 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.