The aim of this study was to evaluate the feasibility and efficacy of choledochoscopic holmium laser lithotripsy as a means of removing resistant extrahepatic and intrahepatic bile duct stones.
Methods:
Clinical data on 28 patients who had undergone choledochoscopic holmium laser lithotripsy were analyzed.
Results:
Complete stone clearance was obtained in 24 patients; small numbers of residual stones in the left or right hepatic duct were found in 4 patients. No severe complications such as hemobilia and bile duct injuries occurred.
Conclusion:
Choledochoscopic holmium laser lithotripsy is a simple, safe, and effective treatment method for patients with resistant bile duct stones.
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References
1.
KowAW, WangB, WongD. Using percutaneous transhepatic cholangioscopic lithotripsy for intrahepatic calculus in hostile abdomen. Surgeon, 2011; 9:88–94.
2.
LeeTY, CheonYK, ChoeWH. Direct cholangioscopy-based holmium laser lithotripsy of difficult bile duct stones by using an ultrathin upper endoscope without a separate biliary irrigating catheter. Photomed Laser Surg, 2012; 30:31–36.
3.
SuCH, LuiWY, P'engFK. Relative prevalence of gallstonedisease in Taiwan. A nationwide cooperative study. Dig Dis Sci, 1992; 37:764–768.
4.
FanST, ChoiTK, LoCM, MokFP, LaiECS, WongJ. Treatment of hepatolithiasis: improvement of result by a systematic approach. Surgery, 1991; 109:474–480.
LeeKT, SheenPC, TsaiCC, ChenJS, KerCG. Long-term results of one hundred and seven hepatic resections for intrahepatic stones. Dig Surg, 1992; 9:298–302.
7.
ChijiiwaK, KameokaN, KomuraM, YamasakiT, NoshiroH, NakanoK. Hepatic resection for hepatolithiasis and long-term results. J Am Coll Surg, 1995; 180:43–48.
8.
ChenMF, JanYY, WangCS, HwangTL. Role of hepatic resection in surgery for bilateral intrahepatic stones. Br J Surg, 1997; 84:1229–1232.
9.
BarkK, GamblinTC, ZuckermanR, et al.Operative choledochoscopic laser lithotripsy for impacted intrahepatic gallstones: A novel surgical approach. Surg Endosc, 2009; 23:221–224.
10.
KimTH, OhHJ, ChoiCS, et al.Clinical usefulness of transpapillary removal of common bile duct stones by frequency doubled double pulse Nd:YAG laser. World J Gastroenterol, 2008; 14:2863–2866.
