[The role of lithotripsy in the treatment of common bile duct calculi].
Lithotrity is aimed at breaking up the calculi in the main bile duct in order to facilitate their extraction, especially after endoscopic sphincterotomy (5% of cases). Extracorporeal lithotrity is effective in 90% of cases, but it requires repeated sessions. Intracorporeal lithotrity is advantageous in that it can be performed immediately after endoscopic sphincterotomy, but the material used may cause injuries to the wall of the biliary tract and requires a sophisticated biliary endoscopic system for visual control. Intrahepatic calculi also represent an excellent application of intracorporeal lithotrity, either during surgery or during transhepatic percutaneous drainage.
Ponchon
T
T
Département des spécialités digestives, Hôpital E.-Herriot, Lyon.
D042882:Gallstones / Q000628:therapy*; D006801:Humans; D010535:Laparoscopy; D008096:Lithotripsy; D013105:Sphincterotomy, Transduodenal / Q000379:methods
Place de la lithotritie dans le traitement de la lithiase de la voie biliaire principale.