Percutaneous choledocholithiasis treatment performed in this department: Peucutaneous Transhepatic Papilla Baloon Dilation (PTPBD)

Abstract

This report describes percutaneous choledocholithiasis treatment performed in this department focusing primarily on instruments used and the actual procedure. The route was internally and externally drained and dilated following PTCD. After observing the inside of the bile duct with a narrow-diameter cholangioscope, the duodenal papilla was dilated percutaneously. Lithotripsy was carried out cholangioscopically using an EHL system as necessary. The stone was evacuated into the duodenum using a large-diameter balloon catheter. Lithotomy can also be performed from the PTGBD route using an extension of this technique. We have thus far performed PTCS-L on 58 cases and percutaneous transhepatic transcystic lithotomy on 17 cases. The amount of time until removal of the drainage tube was an average of 10.6 days (minimum of 4 days). Percutaneous choledocholithiasis treatment is considered to be one of the procedures of choice for treating choledocholithiasis along with a transpapillary approach.