Van Steenbergen W, Van Aken L
Department of Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
Neth J Med. 1994 Jul;45(1):12-20.
Percutaneous transhepatic cholangioscopy in combination with intracorporeal electrohydraulic lithotripsy was successfully applied in 3 patients with biliary tract stones which could not be removed by endoscopic techniques. In a fourth patient, cholangioscopy was used as a diagnostic tool for the evaluation of a right hepatic duct stenosis above a hepatico-jejunostomy. The percutaneous transhepatic tract was dilated up to an 18-French size over a period of 1 week. Maturation of the tract was then awaited for another week before cholangioscopic procedures were started. The only complication noticed consisted of haemobilia that occurred in 1 patient after introduction of the initial percutaneous external-internal drainage catheter. Percutaneous cholangioscopy is a promising new technique in our diagnostic and therapeutic strategy in patients with complex biliary tract disorders.
经皮经肝胆道镜检查联合体内电液压碎石术成功应用于3例无法通过内镜技术取出的胆道结石患者。在第4例患者中，胆道镜用作诊断工具，以评估肝空肠吻合术上方的右肝管狭窄。经皮肝穿刺通道在1周内扩张至18F大小。在开始胆道镜检查之前，等待通道成熟1周。唯一观察到的并发症是1例患者在插入初始经皮内外引流导管后出现胆道出血。经皮胆道镜检查在我们对复杂胆道疾病患者的诊断和治疗策略中是一项有前景的新技术。
