A clinical study of choledochoscopic holmium laser lithotripsy for multiple intrahepatic calculi within ERAS programs

Lasers in Surgery and Medicine
Cheng WangZheping Fang

Abstract

Multiple intrahepatic calculi, especially calculi in both sides of the liver, cannot be completely resolved by traditional surgery. In addition, morbidity after liver resection remains high. ERAS programs have been suggested that could relieve surgical stress and accelerate postoperative recovery. This study aimed to evaluate the safety and efficacy of choledocholithotomy combined with holmium laser lithotripsy in the treatment of multiple intrahepatic calculi within ERAS programs. In all, 109 patients with multiple intrahepatic calculi were enrolled between January 2012 and September 2016, 42 of whom received choledocholithotomy combined with holmium laser lithotripsy. The remaining 67 patients underwent choledocholithotomy combined with choledochoscopic mechanical lithotripsy. Perioperative outcomes were compared and analyzed. Patient characteristics and preoperative details were similar between the groups (P > 0.05). The implementation of holmium laser lithotripsy could reduce the calculi residual rate (7.1% vs. 22.4%, P = 0.037), and even the liver resection rate (16.7% vs. 35.8%, P = 0.031). Additionally, holmium laser lithotripsy did not result in a higher morbidity (11.9% vs. 16.4%, P = 0.517), readmission rate (0% vs. 6...Continue Reading

References

Jan 1, 1990·Lasers in Surgery and Medicine·W ShiW S Grundfest
Feb 1, 1995·Archives of Surgery·K ChijiiwaM Tanaka
Apr 1, 1991·Journal of Clinical Laser Medicine & Surgery·W Q ShiW Grundfest
Aug 7, 1999·Journal of the American College of Surgeons·K OtaniM Tanaka
Dec 18, 2001·The Journal of Urology·Mario SoferJohn D Denstedt
Nov 5, 2003·The British Journal of Surgery·M-T CheungP C-H Kwok
Dec 23, 2003·The American Journal of Gastroenterology·Min-Ho HuangChiu-Kuei Nien
Mar 24, 2004·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Peter Shamamian, Michael Grasso
Jun 26, 2004·Journal of the American College of Surgeons·Justin B DimickLisa M Colletti
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Susumu Tazuma
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Toshiyuki MoriYutaka Atomi
May 14, 2008·World Journal of Gastroenterology : WJG·Tae-Hyeon KimSuck-Chei Choi
Apr 14, 2011·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Gia L Tyson, Hashem B El-Serag
Aug 21, 2012·Digestive Diseases and Sciences·Bryan G SauerMichel Kahaleh
Sep 24, 2015·Lasers in Surgery and Medicine·Birgit LangeRalf Brinkmann
Apr 28, 2017·Lasers in Surgery and Medicine·Paul KlaverHerke Jan Noordmans
Dec 22, 2017·Lasers in Surgery and Medicine·Maximilian EiselRonald Sroka
Apr 1, 2018·Lasers in Surgery and Medicine·Connor M ForbesJoel M H Teichman

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