Complex biliary stones: Treatment with a small choledochoscope and laser lithotripsy

Veronica J. Harris, Stuart Sherman, Scott O. Trerotola, John J. Snidow, Matthew S. Johnson, Glen Lehman

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

PURPOSE: To evaluate the use of a small choledochoscope and laser lithotripsy in the treatment of complex biliary stone disease. MATERIALS AND METHODS: Twenty-five consecutive patients with complex biliary stone disease not amenable to surgical therapy, peroral endoscopic removal, or simple percutaneous retrieval techniques underwent 35 stone-removal procedures. A 3.4-mm endoscope and a pulsed dye coumarin green laser were used to pulverize and remove stones through preexisting, mature transhepatic biliary drain tracts (n = 18), t-tube tracts (n = 3), cholecystostomy tube tracts (n = 3), and a hepaticocutaneous enterostomy (n = 1). Procedures in 14 of the 25 patients (56%) were performed on an outpatient basis. RESULTS: Twenty-four of the 25 patients (96%) were cleared of their stone burden and underwent subsequent catheter therapy of strictures or abscesses as necessary. Complications of the stone removal included fever and chills in six patients (24%) and mild bleeding from a bile duct wall during removal of an adherent stone in one patient. CONCLUSION: Use of a small choledochoscope and a coumarin green pulsed dye laser is safe and effective in the management of complex biliary stone disease.

Original languageEnglish
Pages (from-to)71-77
Number of pages7
JournalRadiology
Volume199
Issue number1
StatePublished - Apr 1996

Fingerprint

Laser Lithotripsy
Enterostomy
Cholecystostomy
Dye Lasers
Therapeutics
Chills
Endoscopes
Biliary Tract
Bile Ducts
Abscess
Pathologic Constriction
Lasers
Fever
Outpatients
Coloring Agents
Catheters
Hemorrhage

Keywords

  • Bile ducts, calculi
  • Bile ducts, interventional procedure
  • Lasers
  • Lithotripsy

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Harris, V. J., Sherman, S., Trerotola, S. O., Snidow, J. J., Johnson, M. S., & Lehman, G. (1996). Complex biliary stones: Treatment with a small choledochoscope and laser lithotripsy. Radiology, 199(1), 71-77.

Complex biliary stones : Treatment with a small choledochoscope and laser lithotripsy. / Harris, Veronica J.; Sherman, Stuart; Trerotola, Scott O.; Snidow, John J.; Johnson, Matthew S.; Lehman, Glen.

In: Radiology, Vol. 199, No. 1, 04.1996, p. 71-77.

Research output: Contribution to journalArticle

Harris, VJ, Sherman, S, Trerotola, SO, Snidow, JJ, Johnson, MS & Lehman, G 1996, 'Complex biliary stones: Treatment with a small choledochoscope and laser lithotripsy', Radiology, vol. 199, no. 1, pp. 71-77.
Harris, Veronica J. ; Sherman, Stuart ; Trerotola, Scott O. ; Snidow, John J. ; Johnson, Matthew S. ; Lehman, Glen. / Complex biliary stones : Treatment with a small choledochoscope and laser lithotripsy. In: Radiology. 1996 ; Vol. 199, No. 1. pp. 71-77.
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