title: Percutaneous treatment of complex biliary stone disease using endourological technique and literature review.
abstract: Most biliary stone diseases need to be treated surgically. However, in special cases that traditional biliary tract endoscopic access is not allowed, a multidisciplinary approach using hybrid technique with urologic instrumental constitute a treatment option. We report a case of a patient with complex intrahepatic stones who previously underwent unsuccessful conventional approaches, and who symptoms resolved after treatment with hybrid technique using an endourologic technology. We conducted an extensive literature review until October 2012 of manuscripts indexed in PubMed on the treatment of complex gallstones with hybrid technique. The multidisciplinary approach with hybrid technique using endourologic instrumental represents a safe and effective treatment option for patients with complex biliary stone who cannot conduct treatment with conventional methods.
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Fernando
authors.initials: F
authors.lastname: Korkes
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Ariê
authors.initials: A
authors.lastname: Carneiro
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Felipe
authors.initials: F
authors.lastname: Nasser
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Breno Boueri
authors.initials: BB
authors.lastname: Affonso
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Francisco Leonardo
authors.initials: FL
authors.lastname: Galastri
authors.affiliation: Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
authors.forename: Marcos Belotto de
authors.initials: MB
authors.lastname: Oliveira
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Antônio Luiz de Vasconcellos
authors.initials: AL
authors.lastname: Macedo
mesh_terms: D002758:Cholangiography; D003251:Constriction, Pathologic; D005471:Fluoroscopy; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008096:Lithotripsy / Q000379:methods*; D017602:Lithotripsy, Laser / Q000379:methods*; D008099:Liver / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018666:Ureteroscopy