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[Percutaneous choledochoscopic electrohydraulic lithotripsy]

Y I Siegel1, A Zisman, E Scapa

  • 1Dept. of Urology, Assaf Harofeh Medical Center, Zerifin.

Harefuah
|January 15, 1996
PubMed
Summary
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Percutaneous choledochoscopic electrohydraulic lithotripsy successfully treated impacted distal common bile duct stones when surgery failed. This minimally invasive technique offers a viable solution for complex biliary stone removal.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Minimally Invasive Endoscopic Procedures

Background:

  • Distal common bile duct stones present significant treatment challenges.
  • Previous operative attempts in two patients were unsuccessful.

Observation:

  • Two patients (80-year-old female, 64-year-old male) had impacted distal common bile duct stones.
  • All conventional surgical interventions failed for these patients.

Findings:

  • Percutaneous choledochoscopic electrohydraulic lithotripsy was performed in a single session for both patients.
  • Complete stone removal was achieved in both cases using this technique.

Implications:

  • This approach demonstrates the efficacy of percutaneous electrohydraulic lithotripsy for refractory common bile duct stones.

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  • It offers a minimally invasive alternative for complex biliary stone management, potentially reducing morbidity associated with open surgery.