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Trifonov S.A.

Vishnevsky Center of Surgery

Varava A.B.

Vishnevsky Center of Surgery

Marinova L.A.

Vishnevsky Center of Surgery

Gorlenko C.L.

Vishnevsky Center of Surgery

Gurmikov B.N.

Vishnevsky Center of Surgery

Percutaneous transhepatic miniinvasive technics in the treatment of patients with cholangiolithiasis and strictures of biliodigestive anastomoses

Authors:

Trifonov S.A., Varava A.B., Marinova L.A., Gorlenko C.L., Gurmikov B.N.

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Journal: Endoscopic Surgery. 2024;30(5): 39‑43

DOI: 10.17116/endoskop20243005139

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To cite this article:

Trifonov SA, Varava AB, Marinova LA, Gorlenko CL, Gurmikov BN. Percutaneous transhepatic miniinvasive technics in the treatment of patients with cholangiolithiasis and strictures of biliodigestive anastomoses. Endoscopic Surgery. 2024;30(5):39‑43. (In Russ.)
https://doi.org/10.17116/endoskop20243005139

Подписка 2025 (Endoscopic Surgery)
МСФ на ЯМ
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BACKGROUND

Intrahepatic bile-duct stones is a hard to treat condition when it comes to conventional surgery approach.

OBJECTIVE

Analysis of surgical treatment for patients with intrahepatic bile-duct stones in span of the last 10 years at Vishnevsky Center of Surgery.

MATERIAL AND METHODS

We analyzed the results of surgical treatment of 30 patients from 2013 to 2022. All patients presented with hepaticojejunostomy stenosis combined with intrahepatic bile-duct stones. All patients were treated with percutaneous transhepatic biliary drainage.

RESULTS

Percutaneous transhepatic balloon extraction was successful in 26 (85%) of patients. Two patients (6%) were treated with percutaneous cholangioscopy, contact electrohydraulic litotripsy. Three patients underwent open surgery. Complications arised in 6 (20%) patients. Overall treatment was successful in 28 (93%) patients.

CONCLUSION

Percutaneous transhepatic intervention is a method of choice when it comes to patients with cholangiolitiasis if endoscopic approach is not indicated.

Keywords:

biliary ducts
intrahepatic bile-duct stones
percutaneous transhepatic biliary drainage
percutaneous cholangioscopy

Authors:

Trifonov S.A.

Vishnevsky Center of Surgery

Varava A.B.

Vishnevsky Center of Surgery

Marinova L.A.

Vishnevsky Center of Surgery

Gorlenko C.L.

Vishnevsky Center of Surgery

Gurmikov B.N.

Vishnevsky Center of Surgery

Received:

22.12.2023

Accepted:

10.04.2024

List of references:

  1. Tazuma S. Epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol. 2006;20(6):1075-1083. https://doi.org/10.1016/j.bpg.2006.05.009
  2. Nakayama F, Soloway RD, Nakama T, Miyazaki K, Ichimiya H,Sheen PC, et al. Hepatolithiasis in East Asia retrospective study. Dig Dis Sci. 1986;31(1):21-26.  https://doi.org/10.1007/bf01347905
  3. Ran X, Yin B,Ma B. Four major factors contributing to intrahepatic stones. Gastroenterol Res Pract. 2017;2017:1-5.  https://doi.org/10.1155/2017/7213043
  4. Alikhanov R.B., Vishnevsky. V.A. Intrahepatic lithiasis. Annaly khirurgicheskoi gepatologii. 2006;11(2):102-104. (In Russ.).
  5. Wright M, Chan J, Rudolph R, Haghighi KS. Percutaneous SpyGlass cholangioscopy for treatment of intrahepatic bile duct calculi. ANZ J Surg. 2022;92(7-8):1924-1926. https://doi.org/10.1111/ans.17394
  6. Kint JF, Bergh JEVD, Van Gelder RE, Rauws EA, Gouma DJ, Van Delden OM, Laméris JS. Percutaneous treatment of common bile duct stones: Results and complications in 110 consecutive patients. Dig Surg. 2015;32:9-15.  https://doi.org/10.1159/000370129
  7. Trifonov SA, Kovalenko YuA, Varava AB, Vishnevsky VA. The place and value of reconstructive operations in patients with high benign strictures of the bile ducts Surgeon. Khirurg. 2020;3-4:3-14. (In Russ.). https://doi.org/10.33920/med-15-2002-01
  8. Tazuma S, Unno M, Igarashi Y, Inui K, Uchiyama K, Kai M, et al. Evidence-based clinical practice guidelines for cholelithiasis. J Gastroenterol. 2016;52(3):276-300.  https://doi.org/10.1007/s00535-016-1289-7

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