Peroral cholangioscopy‐guided laser lithotripsy to treat regional hepatolithiasis without stricture

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Management hepatolithiasis with operative choledochoscopic FREDDY laser lithotripsy combined with or without hepatectomy.

BACKGROUND Hepatolithiasis is very common in East Asia. It is benign in nature, but has a high recurrence rate. It is likely to lead to biliary cirrhosis and increase the risk of cholangiocarcinoma. Hence, the treatment of hepatolithiasis is difficult but vital. In this report, we present a novel approach to manage hepatolithiasis using the choledochoscopic Frequency-Doubled Double pulse Nd:YAG...

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Electrohydraulic lithotripsy with peroral choledochoscopy.

OBJECTIVE To determine the efficacy of peroral electrohydraulic lithotripsy performed with an extra large duodenoscope (outside diameter 14.8 mm) and a choledochoscope with a diameter of 4.1 mm (Olympus "mother and baby" endoscope system) in the removal of very large stones from the common bile duct. DESIGN Prospective study of patients with giant stones in the common bile duct that were resi...

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Laser lithotripsy to treat basket impaction during mechanical lithotripsy of a pancreatic duct stone.

CONTEXT Though uncommon, pancreatic duct stones can cause significant discomfort and morbidity. Endoscopic removal of pancreatic stones may decrease intraductal pressure by augmenting ductal drainage. Endoscopy is shown to be most effective when used early in the course of the disease. Endoscopic methods such as mechanical lithotripsy are often successful in removing the majority of pancreatic ...

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Rescue lithotripsy to treat basket impaction.

The complications of mechanical lithotripsy include a trapped basket surrounding the stone, fracture of the basket wires or the main operation wire, malfunction of the mechanical lithotriptor crank handle, and ductal injury [1,2]. Impaction of a basket with a captured stone inside occurs occasionally not only during mechanical lithotripsy but also during removal of small stones with non-lithotr...

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Intracorporeal laser lithotripsy

OBJECTIVES To review the current literature on intracorporeal laser lithotripsy. METHODS We searched PubMed for relevant reports up to January 2012, using the keywords 'laser', 'lithotripsy' and 'intracorporeal'. RESULTS We studied 125 relevant reports of studies with various levels of evidence. Efficient lithotripsy depends on the laser variables (wavelength, pulse duration and pulse energ...

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ژورنال

عنوان ژورنال: Digestive Endoscopy

سال: 2018

ISSN: 0915-5635,1443-1661

DOI: 10.1111/den.13053