Percutaneous endoscopic laser lithotripsy of retained stones in the left hepatic duct : the role of the surgeon

A 35-year-old woman with a retained stone in a branch of the left hepatic duct was referred to us. The stone was discovered on the postoperative T-tube cholangiogram. A flexible ureteroscope was introduced into the duct, under fluoroscopic and direct endoscopic vision and the pulse dye laser was use...

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Bibliographic Details
Published in:Surgical endoscopy 1990, Vol.4 (1), p.36-38
Main Authors: BERCI, G, HAMLIN, J. A, GRUNDFEST, W, DAYKHOVSKY, L, PAZ-PARTLOW, M
Format: Article
Language:English
Subjects:
Adult
Bile Ducts, Intrahepatic
Biological and medical sciences
Cholelithiasis - therapy
Endoscopy
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Lithotripsy - methods
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Other diseases. Semiology
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Summary:A 35-year-old woman with a retained stone in a branch of the left hepatic duct was referred to us. The stone was discovered on the postoperative T-tube cholangiogram. A flexible ureteroscope was introduced into the duct, under fluoroscopic and direct endoscopic vision and the pulse dye laser was used successfully to disintegrate the calculus. The postoperative course was uneventful. We suggest that in certain selected cases, the pulsed dye laser might be useful in disintegrating stones sited in difficult positions.
ISSN:0930-2794
1432-2218
DOI:10.1007/BF00591412