title: Successful Treatment of Mirizzi's Syndrome Using SpyGlass Guided Laser Lithotripsy.
abstract: The majority of common bile duct stones can be effectively treated by endoscopic sphincterotomy and stone extraction using basket or balloon extractor. Stones more than 2 cm in diameter on the other hand require mechanical, electrohyraulic lithotripsy and sphincterotomy and balloon dilation. Mechanical lithotripsy may not be successful because of the size, consistency and site of the stones. In these cases, laser lithotripsy is the treatment of choice. This however requires direct visualization of the stone which may not be feasible for impacted cystic duct stones. This report describes the successful treatment of difficult cystic duct stones in two patients with Mirizzi's syndrome type I using per oral Spyglass and intraductal holmium: YAG Laser Lithotripter.
authors: Department of Internal Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia and Department of Pediatric Surgery, Maternity and Children Hospital, Dammam, Saudi Arabia.
authors: Hussain
authors: H
authors: Issa
authors: Department of Internal Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia and Department of Pediatric Surgery, Maternity and Children Hospital, Dammam, Saudi Arabia.
authors: Bahaa
authors: B
authors: Bseiso
authors: Department of Internal Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia and Department of Pediatric Surgery, Maternity and Children Hospital, Dammam, Saudi Arabia.
authors: Fadel
authors: F
authors: Almousa
authors: Department of Internal Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia and Department of Pediatric Surgery, Maternity and Children Hospital, Dammam, Saudi Arabia.
authors: Ahmed H
authors: AH
authors: Al-Salem
keywords: Laser lithotripsy; Mirrizi’s syndrome; Retained cystic duct stone; SpyGlass