Korean Journal of Gastrointestinal Endoscopy 1996;16(2): 268-276.
증례 : 담도 췌장 ; 담낭 , 담낭관 및 총담관 결석이 동반된 환자에서의 내시경적 담석제거술 ( Case Reports : Biliary Tract & Pancreas ; Endoscopic Biliary Lithotripsy in a Patient with Gallstones of Gallbladder , Cystic Duct , and Common Bile Duct )
이상인, 김영수, 조성원, 함기백, 김진홍, 박영숙, 홍사준, 이광재, 권오영 (Sang In Lee, Young Soo Kim, Sung Won Cho, Ki Baik Hahm, Jin Hong Kim, Young Sook Park, Sa Joon Hong, Kwang Jae Lee and Kwan Oe Young)
Abstract
Endoseopic sphincterotomy(EST) has been an accepted procedure in patients with current or recurrent common bile duct stones. The success rate of sphineterotomy and of subaequent stone extraction were reported upto 90%. Percutaneous transhepatic cholecystoscopy-lithotripsy(PTCCS-L) could be one of the non-surgical treatment modalities for gallbladder stones, and has been considered as a safe, reliable and technically easy therapeutic procedure through improvement in PTCCS-L manipuiatian and through the development of new devices for this technique. PTCCS-L could be usually performed in the sgrgically high risk groups with gallbladder stones. In this report, we presented successful endoscopic biliary lithotripsy in a 60-year-old male with gallstones of gall bladder, cystic duct, and common bile duct, who was highly risk for surgery, because he has been suffered from advanced liver disease. Endoseopic sphincterotomy and stone removal with basket were done for the removal of common bile duct stones. PTCCS was performed and complete removal of gallbladder stones was achieved. Cystic duict stone was successfully removed after bougie dilation of cystic duct. There has been no recurrence of gallstones until 1 year of follow-up. (Korean J Gastrointest Endosc 16: 268~276, 1996)
PDF Links
Full text via DOI 
Download Citation 
