[Endoscopic lithotripsy of gallstones].
In a retrospective study we report about our experience and complications of 49 mechanical lithotripsies in 34 patients with two lithotriptor systems (Type AK Barmbek n = 30, type Erlangen n = 19). Our success rate (stone free system) is 76.5% (26 of 34 patients). Seven of eight patients with unsuccessful lithotripsy were transferred to surgery. We observed complications in 5.9%: In two cases the distal common bile duct was perforated with the tip of the lithotriptor basket. No death occurred. Technical problems appeared in 8.8%: In two cases we had fractures of the traction wire and in one case fracture of one branch of the lithotriptor basket. After performing endoscopic mechanical lithotripsy in patients suffering from common bile duct stones, we could improve our success rate (stone free system) from 89% up to 97.4%.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019723:Endoscopes; D004724:Endoscopy; D005260:Female; D042882:Gallstones / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D011379:Prognosis
Endoskopische Lithotripsie von Gallengangssteinen.