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The Factors Influencing the Treatment Results of Residual & Recurrent Biliary Stones

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The Factors Influencing the Treatment Results of Residual & Recurrent Biliary Stones

Dongwoo Shin, M.D., Deokbok Moon, M.D., Sanggeol Kim, M.D., Yunjin Hwang, M.D. and Youngkook Yun, M.D.

Department of Surgery, Kyungpook National University Hospital, Daegu, Korea

Background/Aims: There has been a lot of controversy about the treatment methods in the management of residual

& recurrent biliary stones. So we performed the study to clarify the important factors in choosing the treatment modality of the residual & recurrent biliary stones.

Methods: 154 patients who were diagnosed as residual or recurrent biliary stone between January 1995 and August 2000 were divided into 4 groups according to their first re- treatment methods (surgery, stone removal via T-tube, PTBD*, ESTP**) and analyzed the results of these treatments to deter- mine what is the significant factor affecting the prognoses.

Results: The necessity of the second re-treatment for resid- ual & recurrent stones was affected by the complete- ness of stone removal only, and no other factors affected it in view of multivariate analysis. The rate of residual & re- current stones among the patients who have had the first operation in our department was 6.7%. Furthermore the clear- ance rate of residual & recurrent stones was relatively high value (82.2%), as a result of multidisciplinary treatments.

Conclusion: Thus, as long as the residual stones can be removed completely, any treatment modality can be applied to these patients. We don’t have to insist on surgery. (Korean J HBP Surg 2002;6:59-66)

Key Words: Biliary stone, Residual stone, Recurrent stone, Multidisciplinary treatment

: , , ,

,

*Stone removal via Percutaneous trnashepatic biliary drain-

age catheter. **Stone removal with Endoscopic sphintero-

tomy.

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