Large Impacted Intrahepatic Bile Duct Stones: Usefulness of Ultrasonic Lithotripsy.
10.3348/jkrs.1996.34.4.513
- Author:
Byung Kook KWAK
1
;
Hwa Yeon LEE
;
Kyung Hyo LEE
;
Hyung Jin SHIM
;
Young Goo KIM
;
Kun Sang KIM
;
Jung Hyo LEE
;
Young Tae MOON
Author Information
1. Department of Radiology, College of Medicine, Chung Ang University, Korea.
- Publication Type:Original Article
- Keywords:
Bile ducts, calculi;
Bile ducts, stone extraction;
Bile ducts, interventional procedure;
Lithotripsy
- MeSH:
Bile Ducts, Intrahepatic*;
Disulfiram;
Endoscopes;
Humans;
Lithotripsy*;
Ultrasonics*;
Ultrasonography
- From:Journal of the Korean Radiological Society
1996;34(4):513-516
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To determine the usefulness of ultrasonic lithotripsy for the fragmentation of large impacted intrahepatic duct(IHD) stones. MATERIALS AND METHODS: Large impacted stones in five patients were fragmented with a 12.5F rigid ureterorenoscope and a 5.5F rigid ultrasonic oscillating burr via T-tube tract. Two to three dayslater, the fragmented stones were extracted via T-tube tract with basket. RESULTS: Disintegration was complete in three patients and partial in two. The fragmented stones were completely removed in four patients and partially in one. due to that patient's refusal. CONCLUSION: Insertion of a rigid endoscope and ultrasound drill into theorifice of the IHD can be performed without problem. Ultrasonic lithotripsy is an effective technique for the fragmentation of large impacted intrahepatic stones located in the or ifice of the IHD.
