HYBRID PERCUTANEOUS-ENDOSCOPIC REMOVAL (HPER) OF CHOLELITHIASIS
C. Roberto Simons-Linares*1, Ram Gurajala2, Gareth Morris-Stiff3, Prabhleen Chahal1
1Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH; 2Radiology, Cleveland Clinic, Cleveland, OH; 3Hepatobiliary surgery, Cleveland Clinic, Cleveland, OH
We present a case series of three critically ill patients who underwent percutaneous cholecystostomy tube (PCT) placement for acute calculous cholecystitis and have had recurrent biliary events and tube-related complications requiring re-interventions. HPER was successfully performed in all patients. All gallstones were removed with HPER. The 3 patients continue to do well up to-date (4 years of follow up) without recurrence of biliary events and without any HPER procedure-related complications. HPER is a safe, novel and effective definitive treatment of symptomatic cholelithiasis in high-risk surgical patients.
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