Laser Lithotripsy

Langhorst, Jost; Neuhaus, Horst

doi:10.1046/j.1443-1661.2000.00010.x

Cited by 2 publications

(2 citation statements)

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“…(3) LL ① Equipment: Since the first report of successful retrograde laser-induced shock-wave lithotripsy of bile duct stones in 1986, 9 various solid-state laser and pulseddye laser systems have been developed and introduced for bile duct stone lithotripsy. 29 The combination of a rhodamine 6G-dye laser with a stone/tissue detection system, which minimizes the risk of bile duct injury, allows the safe disintegration of bile duct stones without cholangioscopic guidance. 8,30 However, this system is expensive, bulky, requires a highvoltage supply, 8 and has limited fragmentation power.…”

Section: 28mentioning

confidence: 99%

How Should Biliary Stones be Managed?

Shim¹

2010

Gut Liver

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Minimally invasive therapy is currently invaluable for the treatment of biliary stones. Clinicians should be familiar with the various endoscopic modalities that have been evolving. I reviewed the treatment of biliary stones from the common practice to pioneering procedures, and here I also briefly summarize the results of many related studies. Lithotripsy involves procedures that fragment large stones, and they can be roughly classified into two groups: intracorporeal modalities and extracorporeal shock-wave lithotripsy (ESWL). Intracorporeal modalities are further divided into mechanical lithotripsy (ML), electrohydraulic lithotripsy, and laser lithotripsy. ESWL can break stones by focusing high-pressure shock-wave energy at a designated target point. Balloon dilation after minimal endoscopic sphincterotomy (EST) is effective for retrieving large biliary stones without the use of ML. Peroral cholangioscopy provides direct visualization of the bile duct and permits diagnostic procedures or therapeutic interventions. Biliary stenting below an impacted stone is sometimes worth considering as an alternative treatment in elderly patients. This article focuses on specialized issues such as lithotripsy rather than simple EST with stone removal in order to provide important information on state-of-the-art procedures. (Gut Liver 2010;4:161-172

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Section: 28mentioning

confidence: 99%

How Should Biliary Stones be Managed?

Shim¹

2010

Gut Liver

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“…For such cases, several techniques have been developed to reduce the size of a stone before removal, including mechanical lithotripsy, use of a basket to crush the stone, electrohydraulic lithotripsy (EHL), [2][3][4][5] extracorporeal shock-wave lithotripsy, 6 and laser lithotripsy. 7 Of these methods, mechanical lithotripsy is the favored treatment modality for patients in whom conventional endoscopy and sphincterotomy fail to remove the stones. 8,9 In some cases, however, mechanical lithotripsy is relatively cumbersome, time-consuming, more complex, or ineffective.…”

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confidence: 99%