Korean J Gastrointest Endosc.  2006 Jul;33(1):26-31.

Usefulness of Percutaneous Transhepatic Cholangioscopy for Treatment of Intrahepatic Duct and Common Bile Stones and Diagnosis of Intrahepatic Duct Lesions with Biopsy

• Yang HW
• Lee BS
• Kim SM
• Kang YS
• Jung JH
• Kim YS
• Park GO
• Seong JK
• Kim SH
• Lee HY

Abstract

BACKGROUND/AIMS: Despite several limitations, percutaneous transhepatic cholangioscopy (PTCS) has been useful in patients with intrahepatic stone, common bile duct stone or intrahepatic bile duct stricture. We investigated the usefulness and limitation of PTCS, and the recurrence rate after stone removal.
METHODS
PTCS was performed on 49 patients with intrahepatic duct (IHD) stones or common bile duct (CBD) stones and 11 patients undergoing biopsy who visited Chung Nam university hospital between 1999 and 2003.
RESULTS
Complete removal rate of patients with IHD and CBD stones was 75% (21/28) and 91% (19/21), respectively. Biopsy results by PTCS were in agreement with the final result in 86% (6/7). In patients with IHD stones, the PTCS complication rate was 29% (8/28). Bleeding was most common (21%) but was self limited. In patients with CBD stones, the PTCS complication rate was 9% (2/9). One case was bleeding and the other was death by aggravation of general condition. In patients with IHD stones, the recurrence rate was 29% (5/17).
CONCLUSIONS
In conclusion, PTCS is useful to treat patients with IHD stones, as well as the few patients with failed CBD stone removal by ERCP and diagnosis of stricture in the bile duct.

Keyword

Percutaneous transhepatic cholangioscopy; Intrahepatic duct stones; Common bile stones

MeSH Terms

Bile Ducts
Bile Ducts, Intrahepatic
Bile*
Biopsy*
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct
Constriction, Pathologic
Diagnosis*
Hemorrhage
Humans
Recurrence