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Digestive Disease Interventions
DOI: 10.1055/s-0044-1800934
DOI: 10.1055/s-0044-1800934
Review Article
Percutaneous Interventions for Gallstones: Techniques and Outcomes
Ali Husnain
1
Division of Interventional Radiology, Department of Radiology, Northwestern Memorial Hospital, Chicago, Illinois
,
Amir Usman
2
Department of Surgery, University of Lahore, Lahore, Pakistan
,
Ahsun Riaz
1
Division of Interventional Radiology, Department of Radiology, Northwestern Memorial Hospital, Chicago, Illinois
› Author Affiliations
Abstract
Approximately 6% of the global population has gallstones. Acute cholecystitis affects approximately 200,000 individuals annually in the United States. Laparoscopic or open cholecystectomy is the definitive treatment, but many patients are ineligible due to comorbidities. For these high-risk patients, percutaneous cholecystostomy is a temporary alternative; however long-term use in patients with continued contraindications to surgery affects quality of life and has a high complication rate. Percutaneous cholecystoscopic lithotripsy/lithectomy has emerged as a viable alternative for managing these patients. Recent advancements in endoscopic and lithotripsy devices have enhanced outcomes. This review will discuss the technical aspects and outcomes of percutaneous gallstone lithotripsy/lithectomy (in the gallbladder and bile ducts).
Keywords
percutaneous lithectomy - percutaneous lithotripsy - percutaneous cholecystoscopy - acute calculous cholecystitis - gallbladder diseasePublication History
Received: 07 June 2024
Accepted: 18 November 2024
Article published online:
11 December 2024
© 2024. Thieme. All rights reserved.
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References
- 1 Wang X, Yu W, Jiang G. et al. Global epidemiology of gallstones in the 21st century: a systematic review and meta-analysis. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc 2024;
- 2 Gallaher JR, Charles A. Acute cholecystitis: a review. JAMA 2022; 327 (10) 965-975
- 3 Cafasso DE, Smith RR. Symptomatic cholelithiasis and functional disorders of the biliary tract. Surg Clin North Am 2014; 94 (02) 233-256
- 4 Shaffer EA. Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century?. Curr Gastroenterol Rep 2005; 7 (02) 132-140
- 5 Okamoto K, Suzuki K, Takada T. et al. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci 2018; 25 (01) 55-72
- 6 Duszak Jr R, Behrman SW. National trends in percutaneous cholecystostomy between 1994 and 2009: perspectives from Medicare provider claims. J Am Coll Radiol 2012; 9 (07) 474-479
- 7 Bundy J, Srinivasa RN, Gemmete JJ, Shields JJ, Chick JFB. Percutaneous cholecystostomy: long-term outcomes in 324 patients. Cardiovasc Intervent Radiol 2018; 41 (06) 928-934
- 8 Srinivasa RN, Chick JFB, Cooper K, Srinivasa RN. Interventional radiology-operated endoscopy as an adjunct to image-guided interventions. Curr Probl Diagn Radiol 2019; 48 (02) 184-188
- 9 Antalek Jr M, Riaz A, Nemcek Jr AA. Gallbladder: role of interventional radiology. Semin Intervent Radiol 2021; 38 (03) 330-339
- 10 Chou CK, Lee KC, Chan CC. et al. Early percutaneous cholecystostomy in severe acute cholecystitis reduces the complication rate and duration of hospital stay. Medicine (Baltimore) 2015; 94 (27) e1096
- 11 Trieu JA, Gilman AJ, Hathorn K, Baron TH. Large single-center experience with long-term outcomes of EUS-guided transmural gallbladder drainage. J Clin Gastroenterol 2024; 58 (07) 702-707
- 12 Sperry C, Malik A, Reiland A. et al. Percutaneous cystic duct interventions and drain internalization for calculous cholecystitis in patients ineligible for surgery. J Vasc Interv Radiol 2023; 34 (04) 669-676
- 13 Kim SK, Mani NB, Darcy MD, Picus DD. Percutaneous cholecystolithotomy using cholecystoscopy. Tech Vasc Interv Radiol 2019; 22 (03) 139-148
- 14 Stirrat J, Patel NR, Stella SF, Mafeld S, Ho CS, Shlomovitz E. Safety and efficacy of percutaneous gallstone extraction in high-risk patients: an alternative to cholecystectomy or long-term drainage?. J Am Coll Surg 2021; 232 (02) 195-201
- 15 Burhenne HJ. Nonoperative retained biliary tract stone extraction. A new roentgenologic technique. Am J Roentgenol Radium Ther Nucl Med 1973; 117 (02) 388-399
- 16 Gazzaniga GM, Faggioni A, Bondanza G, Cogolo L, Filauro M, Pastorino G. Percutaneous transhepatic cholangioscopy. Int Surg 1983; 68 (04) 357-360
- 17 Nimura Y, Shionoya S, Hayakawa N, Kamiya J, Kondo S, Yasui A. Value of percutaneous transhepatic cholangioscopy (PTCS). Surg Endosc 1988; 2 (04) 213-219
- 18 Ozcan N, Riaz A, Kahriman G. Percutaneous management of biliary stones. Semin Intervent Radiol 2021; 38 (03) 348-355
- 19 Kaplan U, Handler C, Chazan B. et al. The bacteriology of acute cholecystitis: comparison of bile cultures and clinical outcomes in diabetic and non-diabetic patients. World J Surg 2021; 45 (08) 2426-2431
- 20 Raymond CJ, Khayat M, Chick JFB, Srinivasa RN. Endoscopy as an adjunct to image-guided interventions: a new frontier in interventional radiology. Tech Vasc Interv Radiol 2019; 22 (03) 119-124
- 21 Entezari P, Soliman M, Malik A. et al. How endoscopic guidance augments nonvascular image-guided interventions. Radiographics 2022; 42 (06) 1845-1860
- 22 Pang S, England RW, Solomon A, Hong K, Singh H. Single-use versus reusable endoscopes for percutaneous biliary endoscopy with lithotripsy: technical metrics, clinical outcomes, and cost comparison. J Vasc Interv Radiol 2022; 33 (04) 420-426
- 23 Legemate JD, Kamphuis GM, Freund JE. et al. Durability of flexible ureteroscopes: a prospective evaluation of longevity, the factors that affect it, and damage mechanisms. Eur Urol Focus 2019; 5 (06) 1105-1111
- 24 Ofstead CL, Heymann OL, Quick MR, Johnson EA, Eiland JE, Wetzler HP. The effectiveness of sterilization for flexible ureteroscopes: a real-world study. Am J Infect Control 2017; 45 (08) 888-895
- 25 Patel N, Chick JFB, Gemmete JJ. et al. Interventional radiology-operated cholecystoscopy for the management of symptomatic cholelithiasis: approach, technical success, safety, and clinical outcomes. AJR Am J Roentgenol 2018; 210 (05) 1164-1171
- 26 Gillams A, Donald JJ, Russell RC, Hatfield AR, Lees WR. The percutaneous rotary lithotrite: a new approach to the treatment of symptomatic cholecystolithiasis. Gut 1993; 34 (06) 837-842
- 27 Picus D, Hicks ME, Darcy MD. et al. Percutaneous cholecystolithotomy: analysis of results and complications in 58 consecutive patients. Radiology 1992; 183 (03) 779-784
- 28 Chiverton SG, Inglis JA, Hudd C, Kellett MJ, Russell RC, Wickham JE. Percutaneous cholecystolithotomy: the first 60 patients. BMJ 1990; 300 (6735) 1310-1312
- 29 Ohashi S. Percutaneous transhepatic cholecystoscopic lithotomy in the management of acute cholecystitis caused by gallbladder stones. Diagn Ther Endosc 1998; 5 (01) 19-29
- 30 Kim HJ, Lee SK, Kim MH. et al. Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis. Gastrointest Endosc 2000; 52 (05) 645-649
- 31 Jain N, Balaji V, Yoon R. et al. Abstract No. 9 One-year follow-up of percutaneous cholangioscopy-assisted rigid ShockPulse lithotripsy for inoperable calculous cholecystitis: a multi-institutional retrospective review. J Vasc Interv Radiol 2024; 35 (03) S5-S6
- 32 Jain N, Yoon R, Lamberti M, Marchalik D, Smirniotopoulos J. Abstract No. 10 ▪ FEATURED ABSTRACT Single-institution retrospective analysis and one-year follow-up of the efficacy of fluoroscopic-guided large-bore gallstone extraction for inoperable calculous cholecystitis. J Vasc Interv Radiol 2024; 35 (03) S6
- 33 Nguyen C, Mathevosian S, Srinivasa R. Abstract No. 11 Large-bore cholecystoscopy for the treatment of acute calculous cholecystitis. J Vasc Interv Radiol 2024; 35 (03) S6
- 34 Quoraishi S, Ahmed J, Ponsford A, Rasheed A. Lessons learnt from a case of extracorporeal shockwave lithotripsy for a residual gallbladder stone. Int J Surg Case Rep 2017; 32: 43-46
- 35 Fidelis W, Jain N, Smirniotopoulos J. Abstract No. 12 Systematic review analyzing percutaneous cholangioscopy and lithotripsy for inoperable calculus cholecystitis. J Vasc Interv Radiol 2024; 35 (03) S7
- 36 Khayat A, Khayat M, Cline M, Riaz A. Percutaneous biliary endoscopy. Semin Intervent Radiol 2021; 38 (03) 340-347
- 37 Boal Carvalho P, Magalhães J, Dias de Castro F. et al. NSAIDs are not enough - a double blinded randomized controlled trial on the impact of intensive hydration for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis. Eur J Gastroenterol Hepatol 2022; 34 (07) 751-756
- 38 Luo H, Zhao L, Leung J. et al. Routine pre-procedural rectal indometacin versus selective post-procedural rectal indometacin to prevent pancreatitis in patients undergoing endoscopic retrograde cholangiopancreatography: a multicentre, single-blinded, randomised controlled trial. Lancet 2016; 387 (10035): 2293-2301
- 39 Gulaya K, Desai SS, Sato K. Percutaneous cholecystostomy: evidence-based current clinical practice. Semin Intervent Radiol 2016; 33 (04) 291-296
- 40 Sato KT. Percutaneous management of biliary emergencies. Semin Intervent Radiol 2006; 23 (03) 249-257
- 41 Lee MT, Hsi SC, Hu P, Liu KY. Biliopleural fistula: a rare complication of percutaneous transhepatic gallbladder drainage. World J Gastroenterol 2007; 13 (23) 3268-3270
- 42 Beland MD, Patel L, Ahn SH, Grand DJ. Image-guided cholecystostomy tube placement: short- and long-term outcomes of transhepatic versus transperitoneal placement. AJR Am J Roentgenol 2019; 212 (01) 201-204
- 43 Hatzidakis A, Venetucci P, Krokidis M, Iaccarino V. Percutaneous biliary interventions through the gallbladder and the cystic duct: what radiologists need to know. Clin Radiol 2014; 69 (12) 1304-1311
- 44 Loberant N, Notes Y, Eitan A, Yakir O, Bickel A. Comparison of early outcome from transperitoneal versus transhepatic percutaneous cholecystostomy. Hepatogastroenterology 2010; 57 (97) 12-17
- 45 Hersey N, Goode SD, Peck RJ, Lee F. Stenting of the cystic duct in benign disease: a definitive treatment for the elderly and unwell. Cardiovasc Intervent Radiol 2015; 38 (04) 964-970
- 46 Dollhopf M, Larghi A, Will U. et al. EUS-guided gallbladder drainage in patients with acute cholecystitis and high surgical risk using an electrocautery-enhanced lumen-apposing metal stent device. Gastrointest Endosc 2017; 86 (04) 636-643
- 47 Teoh AYB, Kitano M, Itoi T. et al. Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut 2020; 69 (06) 1085-1091
- 48 Barragan C, Alshehri H, Marom G, Glazer Y, Swanstrom L, Shlomovitz E. A pilot study of percutaneous cholecystoenteric anastomosis: a new option for high-risk patients with symptomatic gallstones. J Vasc Interv Radiol 2024; 35 (01) 74-79
- 49 James TW, Baron TH. EUS-guided gallbladder drainage: a review of current practices and procedures. Endosc Ultrasound 2019; 8 (Suppl. 01) S28-S34
- 50 Marom G, Kostrzewa M, Glazer Y, Swanstrom LL, Shlomovitz E. Percutaneous cholecystoduodenal anastomosis for internal gallbladder drainage using a lumen-apposing metal stent. J Vasc Interv Radiol 2021; 32 (01) 142-143
- 51 Goldman I, Ji K, Scheinfeld MH, Hajifathalian K, Morgan M, Yang J. A stent of strength: use of lumen-apposing metal stents (LAMS) for biliary pathologies and other novel applications. Abdom Radiol (NY) 2024;
- 52 European Association for the Study of the Liver (EASL). Electronic address: easloffice@easloffice.eu. EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. J Hepatol 2016; 65 (01) 146-181
- 53 Kim HJ, Kim JS, Joo MK. et al. Hepatolithiasis and intrahepatic cholangiocarcinoma: a review. World J Gastroenterol 2015; 21 (48) 13418-13431
- 54 Michell H, Johnston GP, Chopra P. et al. Cholecystostomy as an exclusive access to remove cystic, common hepatic, and common bile duct stones. AJR Am J Roentgenol 2020; 215 (05) 1252-1256
- 55 Clouse ME, Stokes KR, Lee RG, Falchuk KR. Bile duct stones: percutaneous transhepatic removal. Radiology 1986; 160 (02) 525-529
- 56 Jung GS, Kim YJ, Yun JH. et al. Percutaneous transcholecystic removal of common bile duct stones: case series in 114 patients. Radiology 2019; 290 (01) 238-243
- 57 Huang MH, Chen CH, Yang JC. et al. Long-term outcome of percutaneous transhepatic cholangioscopic lithotomy for hepatolithiasis. Am J Gastroenterol 2003; 98 (12) 2655-2662
- 58 Husnain A, Reiland A, Nemcek Jr AA. et al. Percutaneous endoscopy and image-guided retrieval of dropped gallstones - a case series. Surg Laparosc Endosc Percutan Tech 2024; 34 (04) 361-365
- 59 Morrin MM, Kruskal JB, Hochman MG, Saldinger PF, Kane RA. Radiologic features of complications arising from dropped gallstones in laparoscopic cholecystectomy patients. AJR Am J Roentgenol 2000; 174 (05) 1441-1445
- 60 Diez J, Arozamena C, Gutierrez L. et al. Lost stones during laparoscopic cholecystectomy. HPB Surg 1998; 11 (02) 105-108 , 108–109
- 61 Nayak L, Menias CO, Gayer G. Dropped gallstones: spectrum of imaging findings, complications and diagnostic pitfalls. Br J Radiol 2013; 86 (1028): 20120588
- 62 Nezami N, Latich I, Chockalingam A. et al Safety and feasibility of single use cholecystoscopy for guiding laser or mechanical cholelithotripsy, and mechanical cholelithotomy. Diagn Interv Radiol Ank Turk 2022; 28 (04) 352-358
- 63 Neely C, Husnain A, Reiland A. et al Abstract No. 132 Predictors and outcomes following percutaneous gallstone lithotripsy, lithectomy, and dual cholecystoduodenal stenting. J Vasc Interv Radiol 2024; 35 (03) S58-S59