Percutaneous transhepatic endoscopic holmium laser lithotripsy for intrahepatic and choledochal biliary stones Anna Maria Ierardi, Federico Fontana,

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Presentation transcript:

Percutaneous transhepatic endoscopic holmium laser lithotripsy for intrahepatic and choledochal biliary stones Anna Maria Ierardi, Federico Fontana, Mario Petrillo, Chiara Floridi, Eugenio Cocozza, Sergio Segato, Hatem Abou El Abbas, Alberto Mangano, Gianpaolo Carrafiello, Renzo Dionigi International Journal of Surgery Volume 11, Pages S36-S39 (December 2013) DOI: 10.1016/S1743-9191(13)60011-4 Copyright © 2013 Elsevier Ltd and Surgical Associates Ltd Terms and Conditions

Fig. 1 Percutaneous cholangiography confirms the presence of multiple stones in CBD. International Journal of Surgery 2013 11, S36-S39DOI: (10.1016/S1743-9191(13)60011-4) Copyright © 2013 Elsevier Ltd and Surgical Associates Ltd Terms and Conditions

Fig. 2 Dilatation of the papilla with an occlusion balloon. International Journal of Surgery 2013 11, S36-S39DOI: (10.1016/S1743-9191(13)60011-4) Copyright © 2013 Elsevier Ltd and Surgical Associates Ltd Terms and Conditions

Fig. 3 Stone visualized by choledocoscopy; the light is the fiber (for performing lithotripsy). International Journal of Surgery 2013 11, S36-S39DOI: (10.1016/S1743-9191(13)60011-4) Copyright © 2013 Elsevier Ltd and Surgical Associates Ltd Terms and Conditions

Fig. 4 At the end of the procedure an internal–external biliary drainage tube is left; cholangiography reveals the absence of residual stones. International Journal of Surgery 2013 11, S36-S39DOI: (10.1016/S1743-9191(13)60011-4) Copyright © 2013 Elsevier Ltd and Surgical Associates Ltd Terms and Conditions