Percutaneous management of bile duct stones in children: results of 12 cases

Abstract

PURPOSE We aimed to evaluate the effectiveness of percutaneous transhepatic removal of bile duct stones in children.METHODSThe study included 12 pediatric patients (4 males, 8 females; age range, 1-16 years; mean age, 6.6 years) who underwent percutaneous transhepatic removal of bile duct stones between Septem-ber 2007 and December 2015. Demographic data, patient symptoms, indications for interven-tions, technical and clinical outcomes of the procedure, and complications were retrospectively evaluated.RESULTSOf 12 children, five children with cholelithiasis underwent cholecystectomy subsequently. The overall technical and clinical success rate was 100%. One patient had cholangitis as a complica-tion during the follow-up and was treated medically. CONCLUSIONPercutaneous transhepatic removal of bile duct stones is a safe and effective method for the treatment of children with biliary stone disease. It is a feasible alternative when the endoscopic procedure is unavailable or fails.