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Percutaneous transhepatic cholecystoscopy and biliary endoscopic lithotripsy
Summary
Percutaneous transhepatic cholecystoscopy (PTCCS) offers precise diagnosis for early gallbladder cancer and safe, effective non-operative treatment for gallstones using endoscopic lithotripsy.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Diagnostic Imaging
Background:
- Percutaneous transhepatic cholecystostomy (PTCS) has been utilized since 1981.
- Gallbladder diseases necessitate advanced diagnostic and therapeutic interventions.
Purpose of the Study:
- To report on percutaneous transhepatic cholecystoscopy (PTCCS) procedures.
- To evaluate the diagnostic utility of PTCCS for early gallbladder carcinoma.
- To assess the safety and efficacy of biliary endoscopic lithotripsy via PTCCS and PTCS.
Main Methods:
- Development and application of PTCCS procedures through the PTCS sinus tract.
- Biliary endoscopic lithotripsy using Nd-YAG laser or electrohydraulic shock wave lithotripter.
- Treatment of patients with cholangiolithiasis, cholecystolithiasis, and cholecysto-choledocholithiasis.
Main Results:
- PTCCS demonstrated usefulness in the precise diagnosis of early gallbladder carcinoma.
- Biliary endoscopic lithotripsy was performed on 98 patients (83 cholangiolithiasis, 11 cholecystolithiasis, 4 cholecysto-choledocholithiasis).
- The procedures were found to be useful and safe for treating gallstone diseases.
Conclusions:
- PTCCS is a valuable tool for diagnosing early gallbladder cancer.
- Endoscopic lithotripsy via PTCCS and PTCS provides a safe and effective non-operative treatment for various gallstone conditions.
- These minimally invasive techniques offer significant benefits for patients with gallbladder and biliary tract diseases.