Successful Percutaneous Ultrasonic Lithotripsy of Gallstones

IF 1.3 Q2 MEDICINE, GENERAL & INTERNAL

Ochsner Journal Pub Date : 2023-09-13 DOI:10.31486/toj.23.0071

Adam Ostergar, Muhammad Hassan Alkazemi, Hayden Hill, Michael M. Awad, Alexander Ushinsky, Michael Darcy, Alana C. Desai, Robert Sherburne Figenshau

{"title":"Successful Percutaneous Ultrasonic Lithotripsy of Gallstones","authors":"Adam Ostergar, Muhammad Hassan Alkazemi, Hayden Hill, Michael M. Awad, Alexander Ushinsky, Michael Darcy, Alana C. Desai, Robert Sherburne Figenshau","doi":"10.31486/toj.23.0071","DOIUrl":null,"url":null,"abstract":"<h3></h3> <b>Background:</b> Acute calculous cholecystitis is the obstruction of the cystic duct by a gallstone that leads to inflammation of the gallbladder necessitating cholecystectomy. <b>Case Series:</b> We present the cases of 2 patients with acute calculous cholecystitis who were deemed ineligible candidates for cholecystectomy because of their complicating medical histories. Both patients initially underwent cholecystostomy and drain placement with interventional radiology for management of acute calculous cholecystitis. Their large gallstones remained refractory to attempts at removal by electrohydraulic lithotripsy via the cholecystostomy access. The patients’ gallstones were successfully removed via percutaneous ultrasonic lithotripsy during a collaborative procedure with interventional radiology and urology. <b>Conclusion:</b> An interdisciplinary approach using percutaneous cholecystolithotomy with rigid ultrasonic lithotripsy is an effective method for removing challenging gallstones in patients for whom traditional approaches fail.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"63 1","pages":"0"},"PeriodicalIF":1.3000,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ochsner Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31486/toj.23.0071","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Acute calculous cholecystitis is the obstruction of the cystic duct by a gallstone that leads to inflammation of the gallbladder necessitating cholecystectomy. Case Series: We present the cases of 2 patients with acute calculous cholecystitis who were deemed ineligible candidates for cholecystectomy because of their complicating medical histories. Both patients initially underwent cholecystostomy and drain placement with interventional radiology for management of acute calculous cholecystitis. Their large gallstones remained refractory to attempts at removal by electrohydraulic lithotripsy via the cholecystostomy access. The patients’ gallstones were successfully removed via percutaneous ultrasonic lithotripsy during a collaborative procedure with interventional radiology and urology. Conclusion: An interdisciplinary approach using percutaneous cholecystolithotomy with rigid ultrasonic lithotripsy is an effective method for removing challenging gallstones in patients for whom traditional approaches fail.

查看原文本刊更多论文

成功的经皮胆结石超声碎石术

背景:急性结石性胆囊炎是由胆囊结石阻塞胆囊管，导致胆囊炎症，需要胆囊切除术。病例系列:我们报告了2例急性结石性胆囊炎患者，由于其复杂的病史，他们被认为不适合胆囊切除术。两例患者最初都接受了胆囊炎造瘘和引流管放置和介入放射治疗。他们的大胆结石仍然难以通过胆囊造口通道进行电液碎石术去除。在介入放射学和泌尿学的合作过程中，通过经皮超声碎石成功地取出了患者的胆结石。结论:经皮硬超声碎石联合胆囊取石术是治疗传统方法无效的难治性胆结石的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Ochsner Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： The Ochsner Journal is a quarterly publication designed to support Ochsner"s mission to improve the health of our community through a commitment to innovation in healthcare, medical research, and education. The Ochsner Journal provides an active dialogue on practice standards in today"s changing healthcare environment. Emphasis will be given to topics of great societal and medical significance.