Abstract:
Objective: This study is to compare the clinical efficacy of percutaneous transhepatic balloon dilatation(PTBD)and endoscopic papillary balloon dilatation(EPBD) in treating common bile duct(CBD)stones.
Methods: Between January 2013 and January 2015,a comparison study was conducted among 25 patients with CBD stones who underwent PTBD treatment and were listed in Group A while 60 patients who underwent EPBD treatment and were listed in Group B.
Results: Clearance of CBD stones in Group A patients was 100% ,and 96.7% in group B (P=1.000), with no significant statistical difference. The average time of the procedure was (50±8) minutes and (39±6) minutes, respectively. The short-term incidence of complications in group A was 12%(3/25),and 10%(6/60)in Group B(P>0.05). However,one hepatic abscess occurred in group A and two cases of pancreatitis occurred in group B. A one-year follow-up study demonstrated one gallstone recurrence in group A and one cholangitis in group B.
Conclusions: Percutaneous transhepatic removal of CBD stones has a high success rate with low complications . It is an effective alternative strategy for CBD treatment, especially when endoscopic procedure fails or is not feasible.
Key words:
Common bile duct stone,
Percutaneous transhepatic removal of stone,
Endoscopic papillary balloon dialatation
Penghua Lyu, Lifu Wang, Denghao Deng, Shuxiang Wang, Ling Sun, Jun Liu, Ming yu Cai, Suping Geng, Wennou Huang. Balloon dilatation treating common bile duct stones: comparison of two methods[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(02): 63-66.