[Percutaneous treatment of symptomatic massive bile ducts stones after previous surgery with biliodigestive anastomosis -- report of three cases].

PURPOSE: Presentation of our own experience with percutaneous treatment of symptomatic bile-duct stones like late complication in patients with biliodigestive anastomosis. METHOD: Three symptomatic female patients with biliodigestive anastomosis and acutely symptomatic with proven bile-duct stones above anastomosis were treated with initial percutaneous transhepatic drainage and later via percutaneous route using of endoscopic lithotryptor with special technique. RESULTS: All procedures were successful without complication, the patients are free of biliary symptoms in the long term. CONCLUSION: Percutaneous removal of bile-duct stones in patients with biliodigestive anastomosis is safe and effective method which can be used as an alternative to surgery.