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Fluoroscopy-Guided Percutaneous Gallstone Removal Using a 12-Fr Sheath in High-Risk Surgical Patients with Acute Cholecystitis

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Author(s)
Young Hwan KimYong Joo KimTae Beom Shin
Keimyung Author(s)
Kim, Young Hwan
Department
Dept. of Radiology (영상의학)
Institute for Medical Science (의과학연구소)
Journal Title
Korean Journal of Radiology
Issued Date
2011
Volume
12
Issue
2
Keyword
Gallbladder stoneAcute cholecystitisPercutaneous cholecystolithotomy
Abstract
Objective: To evaluate the technical feasibility and clinical efficacy of percutaneous transhepatic cholecystolithotomy under fl uoroscopic guidance in high-risk surgical patients with acute cholecystitis. Materials and Methods: Sixty-three consecutive patients of high surgical risk with acute calculous cholecystitis underwent percutaneous transhepatic gallstone removal under conscious sedation. The stones were extracted through the 12-Fr sheath using a Wittich nitinol stone basket under fl uoroscopic guidance on three days after performing a percutaneous
cholecystostomy. Large or hard stones were fragmented using either the snare guide wire technique or the metallic cannula technique.
Results: Gallstones were successfully removed from 59 of the 63 patients (94%). Reasons for stone removal failure included the inability to grasp a large stone in two patients, and the loss of tract during the procedure in two patients with a contracted gallbladder. The mean hospitalization duration was 7.3 days for acute cholecystitis patients and 9.4 days for gallbladder empyema patients. Bile peritonitis requiring percutaneous drainage developed in two patients. No symptomatic recurrence occurred during follow-up (mean, 608.3 days). Conclusion: Fluoroscopy-guided percutaneous gallstone removal using a 12-Fr sheath is technically feasible and clinically effective in high-risk surgical patients with acute cholecystitis.
Keimyung Author(s)(Kor)
김영환
Publisher
School of Medicine
Citation
Young Hwan Kim et al. (2011). Fluoroscopy-Guided Percutaneous Gallstone Removal Using a 12-Fr Sheath in High-Risk Surgical Patients with Acute Cholecystitis. Korean Journal of Radiology, 12(2), 210–215. doi: 10.3348/kjr.2011.12.2.210
Type
Article
ISSN
1229-6929
DOI
10.3348/kjr.2011.12.2.210
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36240
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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