title: Use of the pulsed dye laser and ultrasonic lithotriptor for removal of multiple intrahepatic gallstones.
abstract: Two established urologic modalities used for removal of kidney stones were applied in a complementary manner for percutaneous transhepatic removal of multiple intrahepatic gallstones. A pulsed dye laser was used through a flexible nephroscope to fragment a large impacted stone. A stone basket was used to remove stone fragments and a few small entrapped stones. Subsequently, an ultrasonic lithotriptor carried by a rigid nephroscope was tried and found to be a much more efficient means of removing the remaining small stones.
authors.affiliation: Department of Surgery, Baptist Memorial Hospital Medical Center, Memphis, Tennessee.
authors.forename: B F
authors.initials: BF
authors.lastname: Flowers
authors.forename: M J
authors.initials: MJ
authors.lastname: Saslawsky
authors.forename: G L
authors.initials: GL
authors.lastname: Mathes
authors.forename: A K
authors.initials: AK
authors.lastname: Tonkin
mesh_terms: D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery*; D004396:Coloring Agents / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D006801:Humans; D053685:Laser Therapy; D008096:Lithotripsy / Q000295:instrumentation* / Q000379:methods; D017602:Lithotripsy, Laser; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed; D014464:Ultrasonic Therapy
chemical_list: D004396:Coloring Agents