Complex Antegrade Percutaneous Transhepatic and Retrograde Endoscopic Lithotripsy and Extraction

We report a clinical case of elimination of megacholedocholithiasis using complex antegrade percutaneous transhepatic and retrograde endoscopic contact electropulse lithotripsy and extraction. Since an attempt of antegrade extraction failed due to megacholedocholithiasis, the patient underwent compl...

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Bibliographic Details
Published inNeotložnaâ Medicinskaâ Pomoŝʹ Vol. 12; no. 2; pp. 322 - 326
Main Authors Tseimakh, A. E., Kurtukov, V. A., Shtofin, S. G., Shoikhet, Ya. N.
Format Journal Article
LanguageEnglish
Russian
Published Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 29.07.2023
Subjects
antegrade and retrograde lithotripsy
contact electropulse lithotripsy
megacholedocholithiasis
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Summary:We report a clinical case of elimination of megacholedocholithiasis using complex antegrade percutaneous transhepatic and retrograde endoscopic contact electropulse lithotripsy and extraction. Since an attempt of antegrade extraction failed due to megacholedocholithiasis, the patient underwent complex contact electropulse lithotripsy followed by lithotripsy through antegrade and retrograde access, which made it possible to eliminate megacholedocholithiasis without the development of postoperative complications, restore the lumen of the bile ducts and ensure the possibility of subsequent planned surgical treatment of chronic calculous cholecystitis.
ISSN:2223-9022
2541-8017
DOI:10.23934/2223-9022-2023-12-2-322-326