Percutaneous cholecystolithotomy: a case for fulguration of the gallbladder wall.
Percutaneous cholecystolithotomy (PC) has been described previously as an alternative to laparoscopic cholecystectomy in high-risk patients and in those with adherent gallbladders that are not amenable for laparoscopic cholecystectomy. However, it is associated with a high (41%) recurrence of cholelithiasis due to intact gallbladder mucosa. In this paper, we describe a case of PC with fulguration of the gallbladder mucosa to scar and defunctionalize the mucosa and thus prevent recurrence of stones. After 12 months of follow-up, the patient remains asymptomatic.
Andonian
Sero
S
Smith Institute for Urology, North Shore-Long Island Jewish Health System, New Hyde Park, New York, USA.
Rastinehad
Ardeshir
A
Smith
Arthur D
AD
Siegel
David N
DN
D000368:Aged; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic; D002767:Cholecystostomy / Q000379:methods*; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000601:surgery; D006801:Humans