Development of a hybrid percutaneous-endoscopic approach for the complete clearance of gallstones.

作者: Barham K. Abu Dayyeh , Todd H. Baron

DOI: 10.1016/J.CGH.2012.03.006

关键词: Percutaneous cholecystostomyMedicinePercutaneousGeneral surgeryGallbladderSurgeryCholecystectomyGallstonesCholecystitisElderly patient

摘要: Cholecystitis is common and costly to the health care system. Cholecystectomy curative treatment of choice. Alternatives cholecystectomy, however, are needed for patients who cannot undergo this surgery. However, procedures such as percutaneous cholecystostomy, endoscopic transpapillary transduodenal gallbladder drainage, dissolution therapy have limitations continued gallstone burden. More effective minimally invasive alternatives, therefore, needed. We developed a hybrid percutaneous-endoscopic approach complete clearance in an elderly patient was not candidate If replicated proven be safe, technique could alternative cholecystectomy with symptomatic disease good candidates

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