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[Clinical study on the endoscopical lithotomy in cholecystolithiasis]
Summary
Percutaneous Transhepatic Cholecystoscopy (PTCCS) successfully removed gallstones in 14 patients, offering a safe alternative for those unable to undergo surgery. This minimally invasive approach shows promise for treating cholecystolithiasis.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Interventional Radiology
Background:
- Cholelithiasis (gallstones) poses a significant health burden.
- Traditional surgical options may not be suitable for all patients due to comorbidities or patient preference.
- Percutaneous Transhepatic Cholecystic Drainage (PTCCD) is an established procedure for biliary access.
Observation:
- Endoscopical lithotomy via Percutaneous Transhepatic Cholecystoscopy (PTCCS) was performed in 14 patients (6 male, 8 female; age 40-78).
- Four patients were inoperable, while the remaining ten opted for this procedure over surgery.
- PTCCD was established under ultrasonic guidance, dilated to 16 Fr, followed by PTCCS for stone fragmentation using Nd-YAG laser and/or Electrohydraulic lithotripter.
Findings:
- Percutaneous Transhepatic Cholecystoscopy (PTCCS) enabled successful lithotomy in all 14 patients.
- The procedure was completed without any serious complications.
- Nd-YAG laser and Electrohydraulic lithotripter proved effective for gallstone fragmentation.
Implications:
- PTCCS offers a viable and safe endoscopical lithotomy option for cholecystolithiasis.
- This technique expands treatment possibilities for patients with gallstones, particularly those who are inoperable or refuse conventional surgery.
- Further research into PTCCS could establish it as a standard therapeutic approach for gallstone management.