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A case of biliary stones and anastomotic biliary stricture after liver transplant treated with the rendez - vous technique and electrokinetic lithotritor

机译:中华神经医学杂志Chinese Journal of Neuromedicine肖with the曾建华-交会技术和电动碎石术治疗肝移植术后胆结石和吻合胆道狭窄1例。

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摘要

The paper studies the combined radiologic and endoscopic approach (rendez vous technique) to the treatment of the biliary complications following liver transplant. The “rendez-vous” technique was used with an electrokinetic lithotripter, in the treatment of a biliary anastomotic stricture with multiple biliary stones in a patient who underwent orthotopic liver transplant. In this patient, endoscopic or percutaneous transhepatic management of the biliary complication failed. The combined approach, percutaneous transhepatic and endoscopic treatment (rendez-vous technique) with the use of an electrokinetic lithotritor, was used to solve the biliary stenosis and to remove the stones. Technical success, defined as disappearance of the biliary stenosis and stone removal, was obtained in just one session, which definitively solved the complications. The combined approach of percutaneous transhepatic and endoscopic (rendez-vous technique) treatment, in association with an electrokinetic lithotritor, is a safe and feasible alternative treatment, especially after the failure of endoscopic and/or percutaneous trans-hepatic isolated procedures.
机译:本文研究了放射和内镜联合治疗(rendez vous技术)治疗肝移植术后胆道并发症的方法。 “ rendez-vous”技术与电动碎石机一起使用,用于原位肝移植患者多发胆结石的胆道吻合狭窄。在该患者中,内镜或经皮经肝处理胆道并发症失败。结合的方法是使用电动碎石机经皮经肝和内镜治疗(rendez-vous技术),以解决胆道狭窄并清除结石。仅一次治疗就获得了胆道狭窄消失和结石清除的技术成功,从而彻底解决了并发症。经皮肝内镜和内镜(rendez-vous技术)的联合治疗与电动碎石机相结合是一种安全可行的替代疗法,尤其是在内镜和/或经皮经肝分离手术失败后。

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