Clinical Applications of Plasma Shock Wave Lithotripsy in Treating Postoperative Remnant Stones Impacted in the Extra- and Intrahepatic Bile Ducts

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2002 Apr 25

PMID 11972206

Citations 3

Authors

Z Xu

L Wang

N Zhang

S Deng

Y Xu

X Zhou

Affiliations

Soon will be listed here.

Abstract

Background: Choledochofiberscopy with basket extraction has been used widely to treat postoperative remnant stones in the bile duct system. However, it remains difficult to extract stones impacted in the bile duct system or stones too large to pass through the T-tube fistula. This report describes the efficacy and safety of plasma shock wave lithotripsy (PSWL) in fragmenting and eliminating such remnant stones from the bile duct.

Methods: In 52 patients, 117 remnant stones were fragmented with PSWL and subsequently extracted with choledochofiberscopy. The efficacy and safety of PSWL were observed during and after the procedure.

Results: After 116 of 117 remnant stones (99.1%) impacted in the extra- and intrahepatic bile ducts were fragmented successfulIy with PSWL, they were extracted with choledochofiberscopy. There were no significant complications during and after the procedure.

Conclusion: It appears that PSWL is an effective and safe method for fragmenting remnant stones impacted in the bile duct system and stones too large to pass through the T-tube fistula.

Citing Articles

Oddi sphincter preserved cholangioplasty with hepatico-subcutaneous stoma for hepatolithiasis.

Lian Y, Zhang W, Xu Z, Ling X, Wang L, Hou C World J Gastroenterol. 2015; 21(45):12865-72.

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Laparoscopic hepaticoplasty using gallbladder as a subcutaneous tunnel for hepatolithiasis.

Cui L, Xu Z, Ling X, Wang L, Hou C, Wang G World J Gastroenterol. 2014; 20(12):3350-5.

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Clinical application of plasma shock wave lithotripsy in treating impacted stones in the bile duct system.

Xu Z, Wang L, Zhang N, Hou C, Ling X, Xu Y World J Gastroenterol. 2006; 12(1):130-3.

PMID: 16440432 PMC: 4077491. DOI: 10.3748/wjg.v12.i1.130.

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