Korean J Hepatobiliary Pancreat Surg.  2002 Jun;6(1):59-66.

The Factors Influencing the Treatment Results of Residual & Recurrent Biliary Stones

• Shin D
• Moon D
• Kim S
• Hwang Y
• Yun Y

Abstract

BACKGROUND/AIMS: There has been a lot of controversy about the treatment methods in the management of residual & recurrent biliary stones. So we performed the study to clarify the important factors in choosing the treatment modality of the residual & recurrent biliary stones.
METHODS
154 patients who were diagnosed as residual or recurrent biliary stone between January 1995 and August 2000 were divided into 4 groups according to their first re- treatment methods (surgery, stone removal via T-tube, PTBD*, ESTP**) and analyzed the results of these treatments to determine what is the significant factor affecting the prognoses.
RESULTS
The necessity of the second re-treatment for residual & recurrent stones was affected by the complete- ness of stone removal only, and no other factors affected it in view of multivariate analysis. The rate of residual & recurrent stones among the patients who have had the first operation in our department was 6.7%. Furthermore the clearance rate of residual & recurrent stones was relatively high value (82.2%), as a result of multidisciplinary treatments.
CONCLUSION
Thus, as long as the residual stones can be removed completely, any treatment modality can be applied to these patients. We don't have to insist on surgery.

Keyword

Biliary stone; Residual stone; Recurrent stone; Multidisciplinary treatment

MeSH Terms

Humans
Multivariate Analysis
Prognosis