Related Experiment Video
Updated: Jun 16, 2026
03:56
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Combined external lithotripsy and endoscopic techniques for advanced sialolithiasis cases
Oded Nahlieli1, Rachel Shacham, Ami Zaguri
1Department of Oral and Maxillofacial Surgery, Barzilai Medical, Center, Ashkelon, Israel. nahlieli@yahoo.com
Summary
Combined lithotripsy and sialoendoscopy effectively treats salivary stones, offering a minimally invasive option. This approach avoids salivary gland removal, especially for complex cases of sialolithiasis.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Endourology
Background:
- Salivary gland sialolithiasis is a common condition causing pain and swelling.
- Advanced cases often require surgical intervention, potentially leading to gland resection.
- Minimally invasive techniques are sought to improve treatment outcomes and patient recovery.
Purpose of the Study:
- To evaluate the efficacy of a combined external lithotripsy and sialoendoscopy method.
- To assess the treatment of advanced salivary gland sialolithiasis using this novel approach.
- To determine the stone elimination and symptom recurrence rates.
Main Methods:
- A cohort of 94 patients with submandibular or parotid sialolithiasis was treated.
- A miniature external lithotripter was used in conjunction with sialoendoscopes.
- Endoscopic-assisted intraductal and extraductal techniques were employed for stone removal.
Main Results:
- Complete stone elimination was achieved in 32% with lithotripsy alone.
- Intraductal endoscopic assistance was required in 29% of cases.
- An extraductal endoscopic approach successfully removed stones in 39% of patients.
- 95% of patients treated with the extraductal approach remained asymptomatic at 6-month follow-up.
Conclusions:
- Combined lithotripsy and sialoendoscopy is highly effective for salivary stone removal.
- This method is particularly beneficial for stones attached to surrounding tissues or in secondary ducts.
- The technique avoids salivary gland resection, advancing minimally invasive surgical options for sialolithiasis.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...