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Percutaneous cholecystolithotomy: the first 60 patients
S G Chiverton1, J A Inglis, C Hudd
1Department of Minimally Invasive Surgery, London Clinic.
BMJ (Clinical Research Ed.)
|May 19, 1990
Summary
Percutaneous gall stone removal is feasible, adapting techniques from percutaneous nephrolithotomy. This minimally invasive procedure offers a viable alternative for patients with symptomatic gall stones.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Endourology
Background:
- Gall stones are a common condition requiring intervention.
- Existing treatments for gall stones have limitations.
- Percutaneous nephrolithotomy techniques offer potential for gall stone management.
Purpose of the Study:
- To evaluate the feasibility of percutaneous gall stone removal.
- To identify potential complications associated with the procedure.
- To assess the adaptability of percutaneous nephrolithotomy instruments for gall stone extraction.
Main Methods:
- Prospective study of 60 consecutive patients with symptomatic gall stones.
- Percutaneous removal of gall stones was performed.
- Techniques adapted from percutaneous nephrolithotomy were utilized.
Main Results:
- Successful percutaneous removal was achieved in 56 patients.
- Four patients required conversion to cholecystectomy.
- Postoperative complications occurred in seven patients, with two recurrences of biliary calculi.
Conclusions:
- Percutaneous gall stone removal is a feasible procedure.
- The technique can be adapted from percutaneous nephrolithotomy.
- This method is suitable for a broader patient population compared to other gall bladder-sparing techniques.