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Percutaneous endoscopic laser lithotripsy of retained stones in the left hepatic duct

The role of the surgeon

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Summary

A 35-year-old woman with a retained stone in a branch of the left hepatic duct was referred to us. The stone was discovered on the postoperative T-tube cholangiogram. A flexible ureteroscope was introduced into the duct, under fluoroscopic and direct endoscopic vision and the pulsed dye laser was used successfully to disintegrate the calculus. The postoperative course was uneventful. We suggest that in certain selected cases, the pulsed dye laser might be useful in disintegrating stones sited in difficult positions.

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References

  1. Berci G, Hamlin JA (1981) The incidence of retained stones. In: Berci G, Hamlin JA (eds) Operative biliary radiology. Williams & Wilkins, Baltimore, pp 7–9

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Authors and Affiliations

  1. Department of Surgery, Laser Research Division, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, CA, USA

    George Berci & Margaret Paz-Partlow

  2. Department of Radiology, Laser Research Division, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, CA, USA

    J. Andrew Hamlin

  3. Department of Surgery, Laser Research Division, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, CA, USA

    Warren Grundfest & Leon Daykhovsky

Authors
  1. George Berci
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  2. J. Andrew Hamlin
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  3. Warren Grundfest
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  4. Leon Daykhovsky
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  5. Margaret Paz-Partlow
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Berci, G., Hamlin, J.A., Grundfest, W. et al. Percutaneous endoscopic laser lithotripsy of retained stones in the left hepatic duct. Surg Endosc 4, 36–38 (1990). https://doi.org/10.1007/BF00591412

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  • DOI: https://doi.org/10.1007/BF00591412

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