[Electrohydraulic biliary lithotripsy. What approach?].
In 11 patients stones in the common bile duct or in intrahepatic bile ducts could not be extracted by the retrograde route after endoscopic sphincterotomy. Electro-hydraulic lithotripsy was then attempted, using the retrograde route in 4 cases, the transhepatic route in 3 cases and the extracorporeal shock wave technique in 7 cases. The stones could be divided into fragments small enough to be extracted in all patients. The respective indications of the 3 types of electro-hydraulic biliary lithotripsy are discussed.
D000368:Aged; D001653:Bile Ducts, Intrahepatic; D002769:Cholelithiasis / Q000628:therapy*; D004724:Endoscopy / Q000379:methods; D005260:Female; D042882:Gallstones / Q000628:therapy; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013105:Sphincterotomy, Transduodenal / Q000379:methods
Lithotritie biliaire électrohydraulique. Quelle voie d'abord?