[Percutaneous transhepatic papillosphincterotomy and roentgen endobiliary dilatation in cholelithiasis complicated by...

A comparative analysis of treatment was made in two groups of patients with cholelithiasis complicated by mechanical jaundice who for certain causes could not be subjected to endoscopic retrograde endobiliary interventions. Percutaneous transhepatic antegrade papillosphincterotomy and endobiliary balloon dilatation extend the possibilities of rendering medical care to this category of patients. The main indications to antegrade interventions are: impossible retrograde cannulation of the major duodenal papilla, impossible endoscopic control of the position of the papillotome in the papilla zone.