Percutaneous transhepatic sphincterotomy--a report on 3 cases.
The technique of percutaneous transhepatic sphincterotomy is described. This procedure was employed in 3 patients with common bile duct (CBD) stones in whom a previous attempted endoscopic procedure had failed for anatomical reasons (a Billroth II gastric resection or a partial gastric resection with Braun anastomosis). Complete immediate success was obtained in all 3 patients. Furthermore, no major complications occurred during transhepatic treatment. The authors suggest that PTS be employed electively in patients with diseases of the biliary tree in whom the endoscopic approach fails.
Zanon
E
E
Istituto di Radiologia, Università di Torino.
Righi
D
D
Maisano
U
U
Regge
D
D
Ferrari
A
A
Recchia
S
S
Gandini
G
G
D000368:Aged; D001649:Bile Duct Diseases / Q000601:surgery; D002769:Cholelithiasis / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013105:Sphincterotomy, Transduodenal / Q000379:methods*