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[Percutaneous transhepatic gallstone extraction (author's transl)]

R Günther, H D Schmidt, B Braun

    Deutsche Medizinische Wochenschrift (1946)
    |May 8, 1981
    PubMed
    Summary

    Percutaneous transhepatic removal of large gallstones using a Dormia basket is effective in select patients. This minimally invasive technique is suitable for those with high surgical risk or post-operative bile duct obstruction.

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    Area of Science:

    • Gastroenterology
    • Interventional Radiology
    • Surgical Innovation

    Background:

    • Gallstones in the common bile duct present a significant clinical challenge.
    • Traditional treatment options may carry substantial risks for certain patient populations.

    Observation:

    • The study evaluated the efficacy of the Dormia basket for gallstone removal via the percutaneous transhepatic route.
    • Four patients with common bile duct stones were treated using this minimally invasive approach.

    Findings:

    • Successful removal of gallstones (1-3 cm) was achieved in three out of four patients.
    • The percutaneous transhepatic Dormia basket technique is indicated for inoperable patients, those at high surgical risk, and post-hepatic-jejunostomy obstruction.

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    Implications:

    • This method offers a viable alternative for managing common bile duct stones in high-risk patients.
    • Stone hardness, particularly for stones >1 cm, may limit the effectiveness of this technique.