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[Clinical application of percutaneous cholecystolithotripsy]
1309th Hospital of People's Liberation Army, Beijing.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|October 1, 1991
Summary
Percutaneous cholecystolithotripsy offers a safe and effective method for gallstone removal. This minimally invasive procedure demonstrated a high cure rate with no complications in patients with normal gallbladder function.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Endourology
Background:
- Symptomatic gallstones pose a significant clinical challenge.
- Traditional gallstone treatments can involve invasive procedures.
- Percutaneous cholecystolithotripsy presents an alternative approach.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous cholecystolithotripsy for symptomatic gallstones.
- To assess the procedural success and complication rates.
- To determine the suitability of the technique in specific gallbladder conditions.
Main Methods:
- 150 patients (109 women, 41 men) aged 22-73 with symptomatic gallstones underwent the procedure.
- Performed under epidural anesthesia, involving gallbladder fixation, puncture, dilation, and stone removal.
- Utilized ultrasound lithotripsy for larger stones and aspiration/forceps for fragments.
Main Results:
- 100% procedural success rate achieved.
- A high cure rate of 97.3% was observed.
- Only 2.6% of patients had residual stones, with no reported complications.
Conclusions:
- Percutaneous cholecystolithotripsy is a safe and effective gallstone treatment.
- The technique is practicable and preferred for gallbladders with normal drainage and contractility.
- This minimally invasive approach offers a viable option for select gallstone patients.