Percutaneous video choledochoscopic treatment of retained biliary stones via dilated T-tube tract

E. M. Gamal, A. Szabó, E. Szüle, A. Vörös, P. Metzger, G. Kovács, J. Rózsahegyi, A. Oláh, I. Rózsa, J. Kiss

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Retained biliary stones is a common clinical problem in patients after surgery for complicated gallstone disease. When postoperative endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy are unsuccessful, several percutaneous procedures for stone removal can be applied as alternatives to relaparotomy. These procedures are performed either under fluoroscopic control or with the use of choledochoscopy, but it is also possible to combine these methods. Methods: Since 1994, we have used the percutaneous video choledochoscopic technique for the removal of difficult retained biliary stones via dilated T-tube tract in 17 patients, applying the technique of percutaneous stone extraction used in urology. While waiting for the T-tube tract to mature and after the removal of the T-tube, the dilatation of its tract was 26-30 Fr. Stone removal was carried out using a flexible video choledochoscope and a rigid renoscope under fluoroscopic control, with the aid of Dormia baskets, rigid forceps, and high-pressure irrigation. Results: We performed 23 operative procedures, and the clearance of the biliary ducts was successful in all cases. There were no major complications or deaths. Conclusion: Percutaneous video choledochoscopic - Assisted removal of large retained biliary stones via the T-tube tract is a highly effective and safe procedure. Its advantages over other procedures include the ability to visualize the stones and noncalculous filling defects; it also guarantees that the stones can be removed under visual video endoscopic control. It has no problems related to tract or stone size.

Original languageEnglish
Pages (from-to)473-476
Number of pages4
JournalSurgical Endoscopy
Volume15
Issue number5
DOIs
Publication statusPublished - May 2001

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Therapeutics
Endoscopic Sphincterotomy
Endoscopic Retrograde Cholangiopancreatography
Operative Surgical Procedures
Urology
Gallstones
Surgical Instruments
Dilatation
Pressure

Keywords

  • Choledochoscopy
  • Dilated T-tube tract
  • Gallbladder
  • Percutaneous extraction
  • Stone removal

ASJC Scopus subject areas

  • Surgery

Cite this

Percutaneous video choledochoscopic treatment of retained biliary stones via dilated T-tube tract. / Gamal, E. M.; Szabó, A.; Szüle, E.; Vörös, A.; Metzger, P.; Kovács, G.; Rózsahegyi, J.; Oláh, A.; Rózsa, I.; Kiss, J.

In: Surgical Endoscopy, Vol. 15, No. 5, 05.2001, p. 473-476.

Research output: Contribution to journalArticle

Gamal, EM, Szabó, A, Szüle, E, Vörös, A, Metzger, P, Kovács, G, Rózsahegyi, J, Oláh, A, Rózsa, I & Kiss, J 2001, 'Percutaneous video choledochoscopic treatment of retained biliary stones via dilated T-tube tract', Surgical Endoscopy, vol. 15, no. 5, pp. 473-476. https://doi.org/10.1007/s004640000274
Gamal, E. M. ; Szabó, A. ; Szüle, E. ; Vörös, A. ; Metzger, P. ; Kovács, G. ; Rózsahegyi, J. ; Oláh, A. ; Rózsa, I. ; Kiss, J. / Percutaneous video choledochoscopic treatment of retained biliary stones via dilated T-tube tract. In: Surgical Endoscopy. 2001 ; Vol. 15, No. 5. pp. 473-476.
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AU - Szüle, E.

AU - Vörös, A.

AU - Metzger, P.

AU - Kovács, G.

AU - Rózsahegyi, J.

AU - Oláh, A.

AU - Rózsa, I.

AU - Kiss, J.

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N2 - Background: Retained biliary stones is a common clinical problem in patients after surgery for complicated gallstone disease. When postoperative endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy are unsuccessful, several percutaneous procedures for stone removal can be applied as alternatives to relaparotomy. These procedures are performed either under fluoroscopic control or with the use of choledochoscopy, but it is also possible to combine these methods. Methods: Since 1994, we have used the percutaneous video choledochoscopic technique for the removal of difficult retained biliary stones via dilated T-tube tract in 17 patients, applying the technique of percutaneous stone extraction used in urology. While waiting for the T-tube tract to mature and after the removal of the T-tube, the dilatation of its tract was 26-30 Fr. Stone removal was carried out using a flexible video choledochoscope and a rigid renoscope under fluoroscopic control, with the aid of Dormia baskets, rigid forceps, and high-pressure irrigation. Results: We performed 23 operative procedures, and the clearance of the biliary ducts was successful in all cases. There were no major complications or deaths. Conclusion: Percutaneous video choledochoscopic - Assisted removal of large retained biliary stones via the T-tube tract is a highly effective and safe procedure. Its advantages over other procedures include the ability to visualize the stones and noncalculous filling defects; it also guarantees that the stones can be removed under visual video endoscopic control. It has no problems related to tract or stone size.

AB - Background: Retained biliary stones is a common clinical problem in patients after surgery for complicated gallstone disease. When postoperative endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy are unsuccessful, several percutaneous procedures for stone removal can be applied as alternatives to relaparotomy. These procedures are performed either under fluoroscopic control or with the use of choledochoscopy, but it is also possible to combine these methods. Methods: Since 1994, we have used the percutaneous video choledochoscopic technique for the removal of difficult retained biliary stones via dilated T-tube tract in 17 patients, applying the technique of percutaneous stone extraction used in urology. While waiting for the T-tube tract to mature and after the removal of the T-tube, the dilatation of its tract was 26-30 Fr. Stone removal was carried out using a flexible video choledochoscope and a rigid renoscope under fluoroscopic control, with the aid of Dormia baskets, rigid forceps, and high-pressure irrigation. Results: We performed 23 operative procedures, and the clearance of the biliary ducts was successful in all cases. There were no major complications or deaths. Conclusion: Percutaneous video choledochoscopic - Assisted removal of large retained biliary stones via the T-tube tract is a highly effective and safe procedure. Its advantages over other procedures include the ability to visualize the stones and noncalculous filling defects; it also guarantees that the stones can be removed under visual video endoscopic control. It has no problems related to tract or stone size.

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