Ultra-mini Percutaneous Hepatolithotomy in Patients With Large and Multiple Hepatolithiasis

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dc.contributor.authorOzturk, Ahmet
dc.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorBakdik, Suleyman
dc.contributor.authorEcer, Gokhan
dc.contributor.authorAltinkaya, Nurullah
dc.contributor.authorAtaseven, Huseyin
dc.contributor.authorAksoy, Faruk
dc.date.accessioned2024-02-23T14:23:31Z
dc.date.available2024-02-23T14:23:31Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackground: In this study, we applied the ultra-mini percutaneous hepatolithotomy (UM-PHL) technique on hepatolithiasis patients with multiple and large stones on which other minimally invasive methods failed, and our aim was to report its results, sharing in series for the first time. Materials and Methods: Preoperative and postoperative data, laboratory parameters, radiologic findings, and preoperative and postoperative details were recorded for a total of 14 patients for whom the UM-PHL technique was applied between April 2017 and December 2019. As all patients had multiple stones and extreme stone load and had bile duct surgery, they did not have a normal anatomy. All patients were radiologically confirmed to have had preprocedural magnetic retrograde cholangiopancreatography. Results: Operation duration of the patients was 137.6 +/- 44.9 minutes, while intraoperative blood loss was 69.2 +/- 24.9 mL, drainage catheter removal time was 2.85 +/- 0.86 days, and the hospitalization time was 4.28 +/- 2.55 days. Intraoperative balloon dilation was applied to enlarge the stricture area in 5 patients (35.7%). On the basis of the Clavien-Dindo classification, grade 2 complication was observed in 2 patients (14.2%) due to postoperative cholangitis. Patients were followed up for an average of 15 months, and nonsymptomatic radiologic stone recurrence was detected in the 12th month control of 1 patient (7.1%). Conclusion: The UM-PHL technique is a successful method that facilitates stone clearance by providing minimal dilatation through percutaneous intervention and by using instruments with small diameter, and it can safely be applied with its low complication level, low recurrence ratio, and short hospitalization time.en_US
dc.identifier.doi10.1097/SLE.0000000000000853
dc.identifier.endpage84en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue1en_US
dc.identifier.pmid32910108en_US
dc.identifier.scopus2-s2.0-85101877293en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage76en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0000000000000853
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13588
dc.identifier.volume31en_US
dc.identifier.wosWOS:000622349200015en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHepatolithiasisen_US
dc.subjectHepatolithotomyen_US
dc.subjectIntrabiliary Stone Extractionen_US
dc.subjectLithotripsyen_US
dc.subjectMinimal Invasive Surgeryen_US
dc.titleUltra-mini Percutaneous Hepatolithotomy in Patients With Large and Multiple Hepatolithiasisen_US
dc.typeArticleen_US

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