Transcystic videolaparoscopy for choledocholithiasis with holmium: YAG laser lithotripsy. A case report.
Randomised prospective studies have shown that single-stage management of cholecysto-choledocholithiasis yields results equal or superior to sequential treatment, with a lower incidence of complications primarily associated with choledochotomy. We report the first case of transcystic Holmium:YAG laser lithotripsy using a flexible ureteroscope. The method was found to be a valuable aid in reducing the percentage of choledochotomies when calculi are too large to be retrieved from the common bile duct with normal graspers.
Muzio
Stefania
S
SCDO Chirurgia Generale, Azienda Ospedaliera San Luigi di Orbassano, Orbassano, Torino.
Cassini
Paola
P
Martino
Valter
V
Cossu
Marco
M
Porpiglia
Francesco
F
Scoffone
Cesare
C
Scarpa
Roberto Mario
RM
Teggia
Paolo Mello
PM
D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D042883:Choledocholithiasis / Q000150:complications / Q000601:surgery / Q000628:therapy*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D004867:Equipment Design; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D017602:Lithotripsy, Laser; D008297:Male; D010348:Patient Care Team; D020709:Ureteroscopes; D018666:Ureteroscopy / Q000379:methods*; D020535:Video-Assisted Surgery