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01-03-2022 | Endoscopic Retrograde Cholangiopancreatography | Brief Report

Endoscopic intraductal lithotripsy of biliary stones using thulium laser: preliminary results of a single-center experience

Authors: Lorenzo Dioscoridi, Edoardo Forti, Francesco Pugliese, Marcello Cintolo, Giulia Bonato, Francesca Aprile, Alessio Renga, Massimiliano Mutignani

Published in: Lasers in Medical Science | Issue 2/2022

Excerpt

Biliary lithiasis may require multiple interventions especially in the case of large and hard stones, blocked into the biliary tree [1]. Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and balloon or basket-assisted extraction is the first-line treatment, but it may fail in the case of difficult biliary stones [1]. In these cases, laparoscopic surgical stone removal has been described, although complication rates are high [2]. An alternative, less invasive approach is the balloon-assisted mechanical removal of stones through percutaneous transhepatic access, but it has still a high complication rate and often requires multiple sessions for treatment [3]. …

Manes G, Paspatis G, Aabakken L, Anderloni A, Arvanitakis M, Ah-Soune P, Barthet M, Domagk D, Dumonceau JM, Gigot JF, Hritz I, Karamanolis G, Laghi A, Mariani A, Paraskeva K, Pohl J, Ponchon T, Swahn F, Ter Steege RWF, Tringali A, Vezakis A, Williams EJ, van Hooft JE (2019) Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy 51(5):472–491. https://doi.org/10.1055/a-0862-0346CrossRefPubMed

Ma Z, Zhou J, Yao L, Dai Y, Xie W, Song G, Meng H, Xu B, Zhang T, Zhou B, Yang T, Song Z (2021) Safety and efficacy of laparoscopic common bile duct exploration for the patients with difficult biliary stones: 8 years of experiences at a single institution and literature review. Surg Endosc. https://doi.org/10.1007/s00464-021-08340-1CrossRefPubMedPubMedCentral

Ierardi AM, Fontana F, Petrillo M, Floridi C, Cocozza E, Segato S, Abou El Abbas H, Mangano A, Carrafiello G, Dionigi R (2013) Percutaneous transhepatic endoscopic holmium laser lithotripsy for intrahepatic and choledochal biliary stones. Int J Surg 11(Suppl 1):S36-9. https://doi.org/10.1016/S1743-9191(13)60011-4CrossRefPubMed

Muglia R, Lanza E, Poretti D, Colapietro F, Solbiati L, D’Antuono F, Gennaro N, Ceriani R, Pedicini V (2020) Percutaneous transhepatic endoscopic lithotripsy of biliary stones with holmium laser for the treatment of recurrent cholangitis. Abdom Radiol (NY) 45(8):2561–2568. https://doi.org/10.1007/s00261-020-02554-yCrossRef

Mutignani M, Dioscoridi L, Italia A, Forti E, Pugliese F, Cintolo M, Bonato G, Giannetti A, Massad M (2020) Thulium laser to manage a difficult biliary lithiasis: a first case report. Endoscopy 52(3):E112–E113. https://doi.org/10.1055/a-0983-8278CrossRefPubMed

McCarty TR, Gulati R, Rustagi T (2021) Efficacy and safety of peroral cholangioscopy with intraductal lithotripsy for difficult biliary stones: a systematic review and meta-analysis. Endoscopy 53(2):110–122. https://doi.org/10.1055/a-1200-8064CrossRefPubMed

Title: Endoscopic intraductal lithotripsy of biliary stones using thulium laser: preliminary results of a single-center experience
Authors: Lorenzo Dioscoridi
Edoardo Forti
Francesco Pugliese
Marcello Cintolo
Giulia Bonato
Francesca Aprile
Alessio Renga
Massimiliano Mutignani
Publication date: 01-03-2022
Publisher: Springer London
Keywords: Endoscopic Retrograde Cholangiopancreatography
Laser
Published in: Lasers in Medical Science / Issue 2/2022
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-021-03382-2

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