WordNet

surgical removal of a stone (calculus)

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 骨盤手術に関連する神経損傷 nerve injury associated with pelvic surgery
2. 腹会陰式直腸切断術（APR）：開腹術 abdominal perineal resection apr open technique
3. 直腸異物 rectal foreign bodies
4. 婦人科癌に対する摘除術 exenteration for gynecologic cancer
5. 前立腺癌の初回治療における凍結療法およびその他のアブレーション治療 cryotherapy and other ablative techniques for the initial treatment of prostate cancer

English Journal

Risk factors for long-term outcomes after initial treatment in hepatolithiasis.

Park JS, Jeong S, Lee DH, Bang BW, Lee JI, Lee JW, Kwon KS, Kim HK, Shin YW, Kim YS, Park SG.Author information Digestive Disease Center, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.AbstractHepatobiliary complications, such as stone recurrence, recurrent cholangitis, liver abscess, secondary biliary cirrhosis, and cholangiocarcinoma may occur after treatment for hepatolithiasis. However, few previous studies have addressed the risk factors and long-term outcomes after initial treatment. Eighty-five patients with newly diagnosed hepatolithiasis, actively treated for hepatolithiasis, constituted the cohort of this retrospective study. Patients were treated by hepatectomy or nonoperative percutaneous transhepatic cholangioscopic lithotomy. Long-term complications, such as recurrent cholangitis, liver abscess, secondary biliary cirrhosis, and cholangiocarcinoma, and their relationships with clinical parameters were analyzed. The mean follow-up period was 57.4 months. The overall hepatobiliary complication rate after the treatment was 17.6%. Multivariate analysis of suspected risk factors showed that complications were associated with age (HR, 1.046; CI, 1.006-1.089), bile duct stricture (HR, 4.894; CI, 1.295-18.495), and residual stones (HR, 3.482; CI, 1.214-9.981). In conclusion, several long-term hepatobiliary complications occur after hepatolithiasis treatment, and regular observation is necessary in patients with concomitant biliary stricture or residual stones.
Journal of Korean medical science.J Korean Med Sci.2013 Nov;28(11):1627-31. doi: 10.3346/jkms.2013.28.11.1627. Epub 2013 Oct 31.
Hepatobiliary complications, such as stone recurrence, recurrent cholangitis, liver abscess, secondary biliary cirrhosis, and cholangiocarcinoma may occur after treatment for hepatolithiasis. However, few previous studies have addressed the risk factors and long-term outcomes after initial treatment
PMID 24265526

[Gadolinium as an alternative radiocontrast agent in patients with allergy to iodine-based contrast provide for useful diagnostic imagings and safely treatment of biliary tract diseases].

Natsume M, Sano H, Fukusada S, Kachi K, Inoue T, Anbe K, Nishie H, Nishi Y, Yoshimura N, Mizushima T, Okumura F, Miyabe K, Naitoh I, Hayashi K, Nakazawa T.Author information Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, Japan. natsume-makoto@tajimi-hospital.jpAbstractDiagnosis and treatment of biliary tract disease requires an intraductal radiocontrast agent. Although iodine-based contrast medium is commonly used, some patients show severe allergy to iodinated contrast agent. We have retrospectively reviewed the usefulness and safety of gadolinium as an alternative radiocontrast agent in 3 patients with allergy to iodine-based contrast medium in the diagnosis and treatment of biliary tract diseases. In case 1, percutaneous transhepatic biliary drainage and cholangiography were performed successfully and it was possible to visualize an intrahepatic bile duct stone. Percutaneous transhepatic cholangioscopic lithotomy was performed and the intrahepatic bile duct stone was removed. In case 2, endoscopic biliary lithotripsy was performed. In case 3, percutaneous transhepatic cholangiography and cholangioscopy provided a diagnosis of moderately differentiated carcinoma. He underwent pancreatoduodenectomy. Postoperative cholangiograms were also obtained successfully. Gadolinium contrast agent is an alternative to iodine-based cholangiography for the patients with allergy to iodine.
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology.Nihon Shokakibyo Gakkai Zasshi.2013 May;110(5):825-32.
Diagnosis and treatment of biliary tract disease requires an intraductal radiocontrast agent. Although iodine-based contrast medium is commonly used, some patients show severe allergy to iodinated contrast agent. We have retrospectively reviewed the usefulness and safety of gadolinium as an alternat
PMID 23648538

Usefulness of percutaneous transhepatic cholangioscopic lithotomy for removal of difficult common bile duct stones.

Lee JH, Kim HW, Kang DH, Choi CW, Park SB, Kim SH, Jeon UB.Author information Department of Internal Medicine, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.AbstractBACKGROUND/AIMS: Approximately 5% to 10% of common bile duct (CBD) stones are difficult to remove by conventional endoscopic methods. Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) can be an alternative method for this condition, but is not well established yet. The aim of this study was to evaluate the clinical efficacy and safety of PTCSL for removal of difficult CBD stones.
Clinical endoscopy.Clin Endosc.2013 Jan;46(1):65-70. doi: 10.5946/ce.2013.46.1.65. Epub 2013 Jan 31.
BACKGROUND/AIMS: Approximately 5% to 10% of common bile duct (CBD) stones are difficult to remove by conventional endoscopic methods. Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) can be an alternative method for this condition, but is not well established yet. The aim of this study wa
PMID 23423471

Japanese Journal

膵頭十二指腸切除術後に発症した肝内胆管結石症の2例

鈴木崇之,鈴木大亮,清水宏明,宮崎勝
日本臨床外科学会雑誌 75(7), 1966-1971, 2014
膵頭十二指腸切除術（pancreaticoduodenectomy:PD）後に良性胆管空腸吻合部狭窄をきたし，肝内胆管結石症を合併した2例を経験したので報告する．症例1は74歳，女性．9年前に他院でserous cystadenomaに対しPDを施行された．術後胆管炎を繰り返し，肝内胆管結石症を続発したため当科転院となった．症例2は79歳，男性．5年前に当科で十二指腸乳頭部癌に対しPDを施行した． …
NAID 130004901312

ヨードアレルギーを有する胆道疾患診断治療におけるガドリニウム造影剤 (ガドペンテト酸ジメグルミン) の使用経験

夏目まこと,佐野仁,福定繁紀,加地謙太,井上匡央,安部快紀,西江裕忠,西祐二,吉村至広,水島隆史,奥村文浩,宮部勝之,内藤格,林香月,中沢貴宏
日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 110(5), 825-832, 2013-05-05
ヨードアレルギーを有する患者では胆道疾患の診断治療にヨード造影剤を使用できず，診療に難渋する．今回，MRI用造影剤であるガドペンテト酸ジメグルミンを肝内外結石，総胆管結石，胆管癌による閉塞性黄疸などの胆道疾患患者3例の診断および治療，術後のドレーン造影に対して使用し，良好な画像診断が可能であった．ガドリニウム造影剤はヨードアレルギーを有する患者における代替造影薬剤として有用と思われた．
NAID 10031169247

亜全胃温存膵頭十二指腸切除術後に発症したビタミンA欠乏による夜盲症の1例

中山健,松尾亮太,池田治,奥田洋一,大河内信弘
日本臨床外科学会雑誌 73(2), 422-426, 2012
今回，われわれは亜全胃温存膵頭十二指腸切除（SSPPD）術後に胆管空腸吻合部狭窄による肝内胆管結石，閉塞性黄疸および慢性胆管炎を併発し，ビタミンA欠乏による夜盲を発症した1例を経験したので報告する．<BR>症例は73歳，女性．3年前に膵管内乳頭粘液性腫瘍（IPMN）に対してSSPPDを施行された．2年前より，多発肝内胆管結石，閉塞性黄疸および慢性胆管炎を繰り返し，今回，胆管炎の急性増悪 …
NAID 130004900734