scholarly journals TRANSFISTULAR NANOELECTROIMPULSE LITHOTRIPSY IN THE TREATMENT OF CHOLEDOCHOLITHIASIS

2019 ◽  
Vol 21 (1) ◽  
pp. 25-28
Author(s):  
A I Babak ◽  
E A Mozhaeva ◽  
D A Raskovalov ◽  
I S Andrienko ◽  
M I Prudkov
Keyword(s):  
Bile Duct ◽  
Bile Ducts ◽  
New Method ◽  
Bile Duct Stones ◽  
Duodenal Papilla ◽  
Nanosecond Duration ◽  
Safe Method ◽  
Electrohydraulic Lithotripsy ◽  
Major Duodenal Papilla ◽  
Highly Effective

In 2003, Russian developers proposed a new method of crushing stones by electric impulses of nanosecond duration, which has several advantages over contact electrohydraulic lithotripsy. The aim of the study was to evaluate the possibilities of transfistular nanoelectroimpulse lithotripsy (NEIL) in the treatment of choledocholithiasis. A nanoelectroimpulse lithotriptor "Urolit", manufactured by Medline Ltd. (Tomsk, Russia), was used to break down the gallstones. 66 patients with large and/or unmovable bile duct stones and bile ducts drains were performed transfistular NEIL. It was successful in 63 patients (95.5%). NEIL made it possible to perform removal of large and/or unmovable gallstones without destroying the sphincters of the major duodenal papilla in 89% cases. Transfistular NEIL is a new highly effective and safe method of crushing gallstones.

scholarly journals PTH-066 Cholangioscopy-Assisted Electrohydraulic Lithotripsy is Highly Effective in the Management of Difficult Bile Duct Stones

Gut ◽  
2013 ◽  
Vol 62 (Suppl 1) ◽  
pp. A238.1-A238
Author(s):  
V P K Lekharaju ◽  
O Noorullah ◽  
M Kumar ◽  
C A Wadsworth ◽  
C Kaltsidis ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Electrohydraulic Lithotripsy ◽  
Highly Effective

scholarly journals Efficacy of spyglass-guided electrohydraulic lithotripsy in difficult bile duct stones

2014 ◽  
Vol 20 (6) ◽  
pp. 366 ◽  
Author(s):  
AbdulrahmanM Aljebreen ◽  
OthmanR Alharbi ◽  
Nahla Azzam ◽  
MajidA Almadi
Keyword(s):  
Bile Duct ◽  
Bile Duct Stones ◽  
Electrohydraulic Lithotripsy

scholarly journals Short-Term Biliary Stent Placement Contributing Common Bile Duct Stone Disappearance with Preservation of Duodenal Papilla Function

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Tatsuki Ueda ◽  
Masataka Kikuyama ◽  
Yuzo Kodama ◽  
Takafumi Kurokami
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Stent Placement ◽  
Bile Ducts ◽  
Common Bile Duct Stones ◽  
Biliary Stent ◽  
Duodenal Papilla ◽  
Short Term ◽  
Endoscopic Retrograde ◽  
Obstructive Cholangitis

Aims. To investigate the effect of biliary stent placement without endoscopic sphincterotomy (EST) on common bile duct stones (CBDS) disappearance and the contribution of preserving the duodenal papilla function to reduce recurrence of CBDS.Methods. Sixty-six patients admitted for acute obstructive cholangitis due to CBDS who underwent biliary stent placement without EST for 2 years from March 2011 were evaluated retrospectively. The second endoscopic retrograde cholangiopancreatography (ERCP) was performed for treatment of CBDS 3 to 4 months after the first ERCP. We estimated the rate of stone disappearance at the time of second ERCP.Results. CBDS disappearance was observed in 32 (48.5%) of 66 patients. The diameter of the bile ducts and the diameter of CBDS in patients with CBDS disappearance were significantly smaller than in those with CBDS requiring extraction (p=0.007andp<0.001, resp.). Stone disappearance was evident when the diameter of bile ducts and that of CBDS were <10 and 7 mm, respectively (p=0.002).Conclusions. Short-term stent placement without EST eliminates CBDS while preserving duodenal papilla function and may be suitable for treating CBDS in patients with nondilated bile ducts and small CBDS.

scholarly journals Results of laparoscopic for the management of bile duct stones

2020 ◽  
Vol 10 (4) ◽  
Author(s):  
Quoc Phong Le ◽  
Keyword(s):  
Bile Duct ◽  
Postoperative Complications ◽  
Bile Ducts ◽  
Clinical Characteristics ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Bile Duct Stones ◽  
Stone Clearance ◽  
Open Conversion ◽  
Laparoscopic Choledochotomy

Abstract Introduction: To describe clinical and para-clinical characteristics of bile duct stones and results of laparoscopic choledochotomies in management of bile duct stones. Materials and methods: Retrospective and prospective study in 152 bile duct stones patient, who underwent laparoscopic choledochotomy with or without usage of flexible bile ducts scope and electrohydraulic technique, from January 2009 to May 2019 at Hue Central Hospital. Results: Mean age 54,2 (22 - 84), 66 male and 86 female, mean operative time: 135 minutes (90 - 235), intraoperative complications: 3,29%, open conversion: 5,92%. Complete stone clearance was achieved in 91,6% patients. Postoperative complications: 7,69%. Conclusions: Managementofbileductstonesbylaparoscopiccholedochotomy is safe and effective with high percentage of stones clearence, as well as low intraoperative and postoperative complications. This procedure can achieve good results if bile ducts scope and electrohydraulic technique were concomitantly applied.

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