Clinical application of holmium laser lithotripsy for the treatment of cholelithiasis
- VernacularTitle:钬激光碎石术在胆道结石中的临床应用(附17例报告)
- Author:
Laifa ZHU
;
Jianping LI
- Publication Type:Journal Article
- Keywords:
Holmium laser Lithotripsy Cholelithiasis Fibrocholedochoscope
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of holmium laser lithotripsy in the management of cholelithiasis. Methods 17 patients with hepatolithiasis or residual stones after bile duct operation were treated by holmium lithotripsy under fibrocholedochoscope. Results 36 stones were confirmed in 17 patients by intraoperative cholangiography. 7 stones were removed directly, 24 ones by laser lithotripsy, with success rate being 82 8%(24/29). Due to located in superior segmental intrahepatic duct, other 5 stones could not be observed under fibrocholedochoscope, so they weren't treated by holmium laser lithotripsy. B ultrasoundgraphy and cholangiography showed no residual stones in extrahepatic bile duct at the 1st month postoperatively, and the untreated 5 stones were in the same place. No hemorrhage, bile leakage, liver dysfunction or other complications occurred. Conclusions Holmium laser lithotripsy under fibrocholedochoscope is an effective and safe method in the management of hepatolithiasis or residual stones after bile duct operation.
