Transcystic videolaparoscopy for choledocholithiasis with holmium:YAG lser lithotripsy. A case report

Chir Ital. 2008 Jan-Feb;60(1):119-23.Links Transcystic videolaparoscopy for choledocholithiasis with holmium: YAG laser lithotripsy. A case report.Muzio S, Cassini P, Martino V, Cossu M, Porpiglia F, Scoffone C, Scarpa RM, Teggia PM. SCDO Chirurgia Generale, Azienda Ospedaliera San Luigi di Orbassano, Orbassano, Torino. Randomised prospective studies have shown that single-stage management of cholecysto-choledocholithiasis yields results equal or superior to sequential treatment, with a lower incidence of complications primarily associated with choledochotomy. We report the first case of transcystic Holmium:YAG laser lithotripsy using a flexible ureteroscope. The method was found to be a valuable aid in reducing the percentage of choledochotomies when calculi are too large to be retrieved from the common bile duct with normal graspers. PMID: 18389755 [PubMed - indexed for MEDLINE]