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Titolo:
COMPLEX BILIARY STONES - TREATMENT WITH A SMALL CHOLEDOCHOSCOPE AND LASER LITHOTRIPSY
Autore:
HARRIS VJ; SHERMAN S; TREROTOLA SO; SNIDOW JJ; JOHNSON MS; LEHMAN GA;
Indirizzi:
INDIANA UNIV HOSP,MED CTR,DEPT RADIOL,550 N UNIV BLVD INDIANAPOLIS IN46202 INDIANA UNIV HOSP,MED CTR,DEPT GASTROENTEROL INDIANAPOLIS IN 46202
Titolo Testata:
Radiology
fascicolo: 1, volume: 199, anno: 1996,
pagine: 71 - 77
SICI:
0033-8419(1996)199:1<71:CBS-TW>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
BILE-DUCT STONES; SHOCK-WAVE LITHOTRIPSY; NON-SURGICAL TREATMENT; TRANS-HEPATIC REMOVAL; PULSED DYE-LASER; PERCUTANEOUS CHOLECYSTOLITHOTOMY; ELECTROHYDRAULIC LITHOTRIPSY; INTRAHEPATIC STONES; DISSOLUTION AGENT; CALCULI;
Keywords:
BILE DUCTS, CALCULI; BILE DUCTS, INTERVENTIONAL PROCEDURE; LASERS; LITHOTRIPSY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
62
Recensione:
Indirizzi per estratti:
Citazione:
V.J. Harris et al., "COMPLEX BILIARY STONES - TREATMENT WITH A SMALL CHOLEDOCHOSCOPE AND LASER LITHOTRIPSY", Radiology, 199(1), 1996, pp. 71-77

Abstract

PURPOSE: To evaluate the use of a small choledochoscope and laser lithotripsy in the treatment of complex biliary stone disease. MATERIALS AND METHODS: Twenty-five consecutive patients with complex biliary stone disease not amenable to surgical therapy, peroral endoscopic removal, or simple percutaneous retrieval techniques underwent 35 stone-removal procedures. A 3.4-mm endoscope and a pulsed dye coumarin green laser were used to pulverize and remove stones through preexisting, mature transhepatic biliary drain tracts (n = 18), t-tube tracts (n = 3), cholecystostomy tube tracts (n = 3), and a hepaticocutaneous enterostomy (n = 1). Procedures in 14 of the 25 patients (56%) were performed onan outpatient basis. RESULTS: Twenty-four of the 25 patients (96%) were cleared of their stone burden and underwent subsequent catheter therapy of strictures or abscesses as necessary. Complications of the stone removal included fever and chills in six patients (24%) and mild bleeding from a bile duct wall during removal of an adherent stone in one patient. CONCLUSION: Use of a small choledochoscope and a coumarin green pulsed dye laser is safe and effective in the management of complex biliary stone disease.

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Documento generato il 25/11/20 alle ore 15:53:09