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Intraductal shock-wave lithotripsy in complicated common bile duct stones

✍ Scribed by Riemann, J.F. ;Kohler, B. ;Weber, J. ;Schlauch, D.

Publisher
Springer-Verlag
Year
1992
Tongue
English
Weight
814 KB
Volume
70
Category
Article
ISSN
1432-1440

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✦ Synopsis

Intracorporeal shockwave lithotripsy was performed in 36 patients with problematic common bile duct stones. All of the patients had undergone unsuccessful mechanical lithotripsy prior to this procedure. In 29 patients (80.6%), the stones were fragmented under cholangioscopic control and subsequently extracted with a Dormia basket. In seven patients, the procedure failed due to stone impaction or failure to intubate the common bile duct with a nasobiliary tube. No complications were observed. Cholangioscopically guided intracorporeal shockwave lithotripsy is a highly effective and safe procedure for the conservative treatment of complicated common bile duct stones.

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✍ Tilman Sauerbruch; Joseph Holl; Michael Sackmann; Gustav Paumgartner πŸ“‚ Article πŸ“… 1992 πŸ› John Wiley and Sons 🌐 English βš– 741 KB

Over 5 yr, 103 elderly patients (mean age = 70 yr) with bile duct stones (mainly not amenable to endoscopic extraction) underwent adjuvant extracorporeal shock-wave lithotripsy using a first-generation kidney lithotripter. Disintegration of stones was achieved after a mean of 1.4 sessions in 92% of