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Updated: Aug 13, 2026

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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Summary
Flexible cup biopsy forceps offer a minimally invasive solution for extracting ureteral stones when other endoscopic methods fail. This technique shows low morbidity and rapid patient recovery, reducing the need for open surgery.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Traditional open surgical intervention for ureteral stones is often invasive.
- Endoscopic stone extraction techniques like basket extraction and ureteroscopy are common but not always successful.
Observation:
- A novel technique utilizing flexible cup biopsy forceps through a Teflon sheath was employed for ureteral stone extraction.
- This method was specifically applied when standard endoscopic manipulations proved unsuccessful.
Findings:
- Four ureteral stones were successfully extracted using this technique.
- Two stones were removed via the transurethral route, and two via a percutaneous nephrostomy tract.
- The procedure demonstrated minimal patient morbidity.
Implications:
- This technique provides an effective alternative for difficult ureteral stone removal.
- It reduces the need for invasive open surgery.
- Patients experience a swift return to normal activities post-procedure.
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