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| Low-pressure pulse flushing choledochoscopy combined with neodymium laser lithotripsy for the treatment of intrahepatic bile duct stones |
| Wen-Long Zhang a , # , Zhe-Ping Fang a , # , Bin-Yao Shi b , # , Ting Chen a , Shang-Dong Lv a , Cheng Wang a , Peng Hu a , Fa-Biao Zhang a , ∗ |
a Department of Hepatobiliary Surgery, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Taizhou 317000, China
b Department of Hepatobiliary Surgery, Enze Hospital, Wenzhou Medical University, Taizhou 318000, China
∗ Corresponding author.
E-mail address: zhangfabiao@enzemed.com (F.-B. Zhang).
# Contributed equally. |
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Abstract Cholelithiasis is a common and frequently occurring disease in East Asia. Intrahepatic bile duct stone is a benign disease, but the recurrence rate is high. The incidence of postoperative residual stones after traditional manual stone removal can be 30%–96% [1]. The emergence of endoscopes is therefore a milestone in the treatment of hepatolithiasis. Among the various approaches, choledochoscopy combined with laser lithotripsy has become the main procedure for intrahepatic bile duct stone removal [2]. Lithotripsy alone has the disadvantages of low stoneremoving efficiency and blurred choledochoscope vision while performing the procedure. Currently, our team has achieved satisfactory results in the removal of intrahepatic bile duct stones with low-pressure pulse flushing and neodymium laser lithotripsy.
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2021, Vol. 20 
