Okugawa Tadahiro, Tsuyuguchi Toshio, K C Sudhamshu, Ando Takeshi, Ishihara Takeshi, Yamaguchi Taketo, Yugi Hirokazu, Saisho Hiromitsu
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Gastrointest Endosc. 2002 Sep;56(3):366-71. doi: 10.1016/s0016-5107(02)70040-0.
Peroral cholangioscopic lithotomy is an effective treatment for extrahepatic bile duct stones. However, an evaluation of the usefulness and long-term results of peroral cholangioscopic lithotomy for hepatolithiasis has not been reported. The aim of this study was to evaluate the usefulness and long-term results of peroral cholangioscopic lithotomy for hepatolithiasis.
From August 1987 to July 1998, 36 consecutive patients underwent peroral cholangioscopic lithotomy for hepatolithiasis; 34 were followed for a mean of 93 months (range, 14 to 164 months).
The rate of complete stone removal was 64%; the morbidity rate was 2.8%. The recurrence rate for patients in whom stones were completely removed was 21.7%. Two patients (5.9%) had cholangiocarcinoma develop during follow-up.
Although incomplete stone removal and recurrence are common, peroral cholangioscopic lithotomy is a sufficiently safe and effective method for the treatment of hepatolithiasis.
经口胆管镜取石术是治疗肝外胆管结石的有效方法。然而，尚未有关于经口胆管镜取石术治疗肝内胆管结石的有效性及长期结果的评估报道。本研究的目的是评估经口胆管镜取石术治疗肝内胆管结石的有效性及长期结果。
1987年8月至1998年7月，36例连续患者接受了经口胆管镜取石术治疗肝内胆管结石；34例患者接受了平均93个月（范围14至164个月）的随访。
结石完全清除率为64%；发病率为2.8%。结石完全清除患者的复发率为21.7%。两名患者（5.9%）在随访期间发生胆管癌。
尽管结石清除不完全和复发很常见，但经口胆管镜取石术是治疗肝内胆管结石足够安全有效的方法。
