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KMID : 1103720140700030225
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Journal of the Korean Society of Radiology
2014 Volume.70 No. 3 p.225 ~ p.231
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Effectiveness of Percutaneous Biliary Stone Removal as Primary Treatment in Cases with Difficulties in the Use of an Endoscopy
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Choi Sin-Ae
Han Young-Min
Jin Gong-Yong
Lee Seung-Ok
Yu Hee-Chul
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Abstract
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Purpose: To evaluate the effectiveness of percutaneous biliary stone removal as a primary treatment in cases with difficulties to use an endoscopy.
Materials and Methods: From March 2004 to May 2011, 17 patients who underwent primary percutaneous biliary stone removal (Group 1) and 34 case-matched patients who underwent primary endoscopic biliary stone removal were selected (Group 2). The inclusion criteria were as follows: patients who had 1) ≥ 15 mm bile duct stones, 2) intrahepatic bile duct stones, 3) bile duct stones with a history of previous gastrointestinal bypass surgery. In the present study were analyzed the success rates, the length of postprocedural hospital stay, the change of Amylase/Lipase values and complications post procedure. Statistical analysis was performed using paired t-test and unpaired t-test.
Results: The success rate was higher in Group 1 (94.1%) than in Group 2 (85.3%). Length of post procedural hospital stay and the post procedural amylase level were significantly increased in Group 2 (p = 0.036 and p = 0.017, respectively).
Conclusion: In cases of bile duct stones with difficulties in the use of an endoscopy a percutaneous biliary stone removal can be efficient as a primary treatment.
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KEYWORD
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Percutaneous Biliary Stone Removal, Endoscopic Retrograde Cholangio, Pancreatography, ≥ 15 mm Bile Duct Stones, Intrahepatic Bile Duct Stones, History of Gastrointestinal Bypass Surgery
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