Choledochoscopic laser lithotripsy for refractory residual biliary calculi after surgery
10.3760/cma.j.issn.1007-5232.2009.11.005
- VernacularTitle:胆道镜下激光碎石术治疗残留胆管结石的临床观察
- Author:
Xingang SHI
;
Feng LIU
;
Renpei WU
;
Duowu ZOU
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
Choledochoscope;
Lithotripsy;
laser;
Calculi;
Refractory
- From:
Chinese Journal of Digestive Endoscopy
2009;26(11):572-574
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of choledochoscopy combined with laser lithotripsy for refractory residual biliary calculi after operation. Methods Clinical data of 22 patients, who underwent choledochoseopy together with laser lithotripsy for refractory intra- and extra-hepatic calculi after operation from February 2007 to February 2009, were retrospectively studied. Results The success rate of stone removal was 95.5% (21/22) , with one session success rate of 86. 4% (19/22), and two sessions of 9. 1% (2/22). Stone removal could not be performed in one patient due to multiple intra-hepatic calculi, difficult calculi location at bile ducts of grade Ⅱ, and wide biliary angle with no access. No biliary duct hem-orrhage, perforation, or infection occurred. Conclusion Choledochoscopy combined with laser lithotripsy is an effective and safe procedure for refractory residual biliary calculi after operation.
