Laparoscopic treatment for gallbladder stones and the place of intracorporeal lithotripsy.
An ultrasonic lithotriptor (U.S. Olympus) introduced into the gallbladder under visual control of a laparoscope permits fragmentation of the stones and complete clearance of the gallbladder in one session of 10-20 min. The empty, clean gallbladder can be drained (cholecystostomy) or removed (cholecystectomy) by passing it through an 8-10 mm orifice of the abdominal wall. A series of 18 cholecystostomies and 200 cholecystectomies shows that intracorporeal lithotripsy prior to these procedures is efficient, safe, and elegant. It is the guarantee of a real laparoscopic procedure in cases of cholecystectomy.
Perissat
J
J
Cliniques Chirurgicales du C.H.U., Bordeaux, France.
Collet
D
D
Belliard
R
R
Sosso
M
M
D002763:Cholecystectomy / Q000379:methods*; D002767:Cholecystostomy / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008096:Lithotripsy / Q000379:methods*