PMID: 2508816Sep 2, 1989Paper

Electrohydraulic lithotripsy with peroral choledochoscopy

BMJ : British Medical Journal
J W Leung, S S Chung

Abstract

To determine the efficacy of peroral electrohydraulic lithotripsy performed with an extra large duodenoscope (outside diameter 14.8 mm) and a choledochoscope with a diameter of 4.1 mm (Olympus "mother and baby" endoscope system) in the removal of very large stones from the common bile duct. Prospective study of patients with giant stones in the common bile duct that were resistant to extraction by conventional means. Endoscopy unit at a university hospital. Four women and one man aged 48-82 (mean 66.4 years) with a total of nine stones in their common bile ducts ranging from 2.2 to 3.6 cm in diameter. Peroral electrohydraulic lithotripsy was performed after intravenous sedation and under antibiotic cover. Two endoscopists took part in each procedure, coordination being achieved by means of a video monitor. The procedures were performed with a Lithotron EL-23 lithotripter and a 3 French lithotripsy probe inserted through the choledochoscope under direct vision. Complete clearance of the common bile duct confirmed by occlusion cholangiography. All nine stones (mean minimal diameter 2.6 cm; mean maximal diameter 3.1 cm) were successfully fragmented by electrohydraulic lithotripsy, allowing subsequent extraction with the aid of end...Continue Reading

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