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Percutaneous cholecystolithotomy: risks, benefits, and long-term outcome
S P Pereira1, J P Ellul, A Keightley
1Gastroenterology Unit, Guy's Hospital Campus, UMDS, London, England.
Scandinavian Journal of Gastroenterology
|May 1, 1995
Summary
Percutaneous cholecystolithotomy (PCCL) for gallbladder stones is moderately effective, with a high recurrence rate of stones or sludge. This limits its use compared to laparoscopic cholecystectomy.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Biliary Tract Disease
Background:
- Percutaneous cholecystolithotomy (PCCL) is an alternative for symptomatic gallbladder stones in patients desiring gallbladder preservation.
- Limited data exist on PCCL's long-term outcomes, risks, and benefits.
Purpose of the Study:
- To evaluate the efficacy and long-term outcomes of PCCL for symptomatic gallbladder stones.
Main Methods:
- PCCL was performed in 21 patients with symptomatic calcified gallstones.
- Follow-up assessed gallstone clearance, symptom recurrence, and complications.
Main Results:
- PCCL achieved gallstone clearance in 17 of 21 patients (81%).
- At median 35 months, 9 patients remained symptom-free. However, 4 developed biliary sludge and 4 had gallstone recurrence.
- The 36-month actuarial recurrence rate for stones/sludge was over 63%.
Conclusions:
- PCCL demonstrates moderate effectiveness for gallbladder stones.
- High rates of complications and recurrence suggest a limited role for PCCL, especially with laparoscopic cholecystectomy available.