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Percutaneous gallstone removal: long-term follow-up
C S Courtois1, D D Picus, M E Hicks
1Department of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA.
Journal of Vascular and Interventional Radiology : JVIR
|March 1, 1996
Summary
Percutaneous gallstone removal shows a notable risk of gallstone recurrence, but symptom recurrence is less common. This procedure offers benefits for patients with high surgical risks.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Gallstones affect a significant portion of the population.
- Surgical options for gallstones carry inherent risks.
- Percutaneous gallstone removal offers an alternative approach.
Purpose of the Study:
- To assess gallstone and symptom recurrence after percutaneous removal.
- To evaluate long-term complications and survival rates.
- To determine the overall benefit of this minimally invasive procedure.
Main Methods:
- Retrospective review of 87 patients undergoing percutaneous gallstone removal (1987-1992).
- Clinical follow-up via physician and patient contact.
- Follow-up ultrasound (US) for 31 patients.
Main Results:
- 65 patients in the final study group; mean survival 33 months.
- 12% (8/65) experienced recurrent symptoms; 6 had recurrent gallstones.
- 40% (12/30) had recurrent gallstones on US, with 6 symptomatic.
Conclusions:
- Gallstone recurrence is significant post-percutaneous removal.
- Symptom recurrence is considerably lower than gallstone recurrence.
- Percutaneous removal is a viable option for high-risk surgical patients.