Percutaneous Removal of Common Duct Stones

Percutaneous Approach for Removal of Difficult Common Bile Duct Stones

duct stone disease is one of the most common problems in medical practice. Surgical common bile duct (CBD) exploration was the procedure of choice for the treatment of bile duct stones a few decades ago. However, endoscopic retrogr-ade cholangiopancreatography (ERCP) with sphincterotomy has become the treatment of choice for bile duct stones after the development of ERCP techniques. Development...

Usefulness of Percutaneous Transhepatic Cholangioscopic Lithotomy for Removal of Difficult Common Bile Duct Stones

BACKGROUND/AIMS Approximately 5% to 10% of common bile duct (CBD) stones are difficult to remove by conventional endoscopic methods. Percutaneous transhepatic cholangioscopic lithotomy (PTCSL) can be an alternative method for this condition, but is not well established yet. The aim of this study was to evaluate the clinical efficacy and safety of PTCSL for removal of difficult CBD stones. MET...

Endoscopic removal of common duct stones: current indications and controversies.

Laserlithotripsy of common bile duct stones.

Endoscopic retrograde laser lithotripsy of common bile duct stones is a new technique which can be carried out through the endoscope without anaesthesia using ordinary endoscopic equipment. In the method described here a flashlamp pulsed Neodymium YAG laser (wave length 1064 nm) was used. Light energy was transmitted along a highly flexible quartz fibre with a diameter of 0.2 mm. This new techn...

EUS and Common bile duct stones

Choledocholithiasis is a common disorder, especially in patients older than 60 years, as common bile duct stones may be present in 15% to 60% of cases in this special sample of population. Until recently, endoscopic retrograde cholangiography (ERC), which is a very reliable method for visualizing and extracting gallstones in the same session, was considered the gold-standard for suspected chole...