| Theme | Current Treatment Strategies for Common Bile Duct Stones | |
|---|---|---|
| Title | Peroral Cholangioscopic Lithotripsy for Bile Duct Stones | |
| Publish Date | 2001/08 | |
| Author | Toshio Tsuyuguchi | The First Department of Medicine, Chiba University School of Medicine |
| Author | Hidekazu Kurata | The First Department of Medicine, Chiba University School of Medicine |
| Author | Tadahiro Okugawa | The First Department of Medicine, Chiba University School of Medicine |
| Author | Takeshi Andou | The First Department of Medicine, Chiba University School of Medicine |
| Author | Takeshi Ishihara | The First Department of Medicine, Chiba University School of Medicine |
| Author | Taketo Yamaguchi | The First Department of Medicine, Chiba University School of Medicine |
| Author | Hiromitsu Saisho | The First Department of Medicine, Chiba University School of Medicine |
| [ Summary ] | Bile duct stones can be removed endoscopically with or without mechanical lithotripsy in over 90% of cases but such extraction can fail if the stones are large or the anatomy difficult. The relatively high mortality and morbidity rates associated with bile duct surgery has driven the search for less invasive techniques which can remove these refractory stones. These techniques have included extracorporeal shockwave lithotripsy, percutaneous transhepatic removal, chemical dissolution and T tube extraction. We describe our experience with electrohydraulic shock wave lithotripsy and/or flash-lamp pumped dye laser lithotripsy, using peroral cholangioscopy, with the "mother and baby" endoscopic system. Peroral cholangioscopic lithotripsy (POCSL) and subsequent stone evacuation was successful for all the refractory stones and no complications occurred. POCSL offers a safe and effective alternative for the management of patients with refractory stones in the common bile duct. |
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