Summary
Early experience with mini-invasive endoscopic removal of gallstones in seriously ill patients has shown its usefulness and feasibility. By comparison with the percutaneous method of endoscopic stone removal, the open direct approach to the gallbladder fundus via mini-laparotomy requires less operating time. The larger opening in the fundus of the gallbladder permits the use of instruments simultaneously with the endoscope and removal of uncrushed gallstones. One creates very little stone debris and reduces the danger of sludge migrating into the cystic duct. To date, the method has only been employed in severely ill patients, but its future use in younger persons appears reasonable.
Similar content being viewed by others
References
Demling L (Chairman) (1988) Operative Endoskopie — Einbruch in die Chirurgie? (Round table discussion) Klin Wochenschr 66 [Suppl XIII]: 73
Kellett MJ, Wickham JEA, Russell RCG (1988) Percutaneous cholecystolithotomy. Br Med J 296: 453–455
Kerlan RK, LaBerge JM, Ring EJ (1985) Percutaneous cholecystolithotomy: preliminary experience. Radiology 157: 653–656
Mack E (1986) Chemical dissolution of gallstones. Contemp Surg 28: 20–23
Manegold BC, Jung M (1987) Endoskopisch-therapeutische Eingriffe an den Gallen- und Pankreaswegen. Chirurg 58: 392–401
Runge D, Gebhardt J, Burmeister W, Wurbs D (1985) Mechanische Lithotripsie von Gallengangssteinen. Dtsch Med Wochenschr 110: 1981–1983
Sackmann M, Delius M, Sauerbruch T, Holl J, Weber W, Ippisch E, Hagelauer U, Wess O, Hepp W, Brendel W, Paumgartner G (1988) Shockwave lithotripsy of gallbladder stones. N Engl J Med 318: 393–397
Sauerbruch T, Paumgartner G (1986) Therapie der Cholelithiasis. Internist 27: 643–655
Sparkman R (1982) 100th Anniversary of the first cholecystectomy. Arch Surg 117: 1525–1528
Taylor M, Marshall JC, Fried L, LeBrun P, Norman R (1988) Extracorporal shock wave lithotripsy (ESWL) in the management of stone disease. Ann Surg 208: 586–592
Van Sonnenberg E, Hofman A (1988) Gallstone therapy. AJR 150: 43–46
Wickham JEA (1987) The new surgery. Br Med J 295: 1581–1582
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Roesel, R.W. Experience with mini-invasive endoscopic removal of gallstones. Surg Endosc 3, 124–125 (1989). https://doi.org/10.1007/BF00591355
Issue Date:
DOI: https://doi.org/10.1007/BF00591355