Percutaneous transhepatic cholangioscopy in the management of hepatolithiasis.

Ana Belén Martín Arnau, Antonio Molera Espelt, Jordi Villaba Auñon, Santiago Sánchez-Cabús
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Abstract

The treatment of lithiasis in patients with biliodigestive bypass can be controversial. The combination of percutaneous access together with cholangioscopy is an alternative to surgical treatment for the management of this pathology. In recent years, the appearance of smaller and more flexible fiber-optic cholangioscopes as well as the possibility to perform lithotripsy have changed the treatment of this pathology, providing good results. After our experience, we believe that cholangioscopy assisted by a percutaneous approach is a safe technique, with few complications and early recovery for patients in whom it is not possible to perform endoscopic management.

经皮经肝胆管镜治疗肝结石。
胆道分流术患者的结石治疗可能存在争议。经皮入路联合胆道镜检查是治疗这种病症的手术疗法之外的另一种选择。近年来,体积更小、更灵活的光纤胆道镜的出现以及碎石术的出现改变了这种病理的治疗方法,并取得了良好的效果。根据我们的经验,我们认为经皮方法辅助胆道镜检查是一种安全的技术,对于无法进行内镜治疗的患者来说,并发症少,恢复快。
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