Peroral cholangioscopy with thulium laser lithotripsy in complicated choledocholithiasis
https://doi.org/10.16931/1995-5464.2025-2-50-56
Abstract
Aim. To assess the initial experience of peroral cholangioscopy with thulium laser lithotripsy in complicated choledocholithiasis.
Materials and methods. Between 2021 and 2024, 14 patients underwent peroral cholangioscopy with thulium laser lithotripsy. The largest stone size was 2.35 ± 0.33 cm. Multiple stones were present in 8 (57.1%) patients. Obstructive jaundice was observed in 6 (42.9%) patients and cholangitis in 4 (28.6%).
Results. The overall effectiveness of the method was 93%. Two sessions were required for 4 (28.6%) patients. The procedure duration was 88.5 ± 23.7 minutes. No complications were observed.
Conclusion. Peroral cholangioscopy with thulium laser lithotripsy can be considered a method of choice for patients with bile duct stones >2 cm or multiple stones >1 cm. Further studies are required to improve the technique, clarify the indications for its use, and determine the clinical and economic effectiveness.
About the Authors
A. V. Smirnov
Federal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)
Russian Federation
Russian Federation
Alexander V. Smirnov – Cand. of Sci. (Med.), Associate Professor, Surgeon of the Department of Surgery, Deputy General Director for Scientific Work and Medical Technologies
28, Orehovy boulevard, Moscow, 115682
A. R. Akhmedyanov
Federal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)
Russian Federation
Russian Federation
Artur R. Akhmedyanov – Surgeon, Department of Surgery
28, Orehovy boulevard, Moscow, 115682
D. V. Sazonov
Federal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)
Russian Federation
Russian Federation
Dmitry V. Sazonov – Cand. of Sci. (Med.), Head of the Endoscopy Department
28, Orehovy boulevard, Moscow, 115682
A. I. Zlobin
Federal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)
Russian Federation
Russian Federation
Alexander I. Zlobin – Cand. of Sci. (Med.), Surgeon, Department of Surgery
28, Orehovy boulevard, Moscow, 115682
V. R. Stankevich
Federal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)
Russian Federation
Russian Federation
Vladimir R. Stankevich – Cand. of Sci. (Med.), Surgeon, Department of Surgery
28, Orehovy boulevard, Moscow, 115682
Yu. V. Ivanov
Federal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)
Russian Federation
Russian Federation
Yuri V. Ivanov – Doct. of Sci. (Med.), Professor, Honored Scientist of the Russian Federation, Head of Surgery Department
28, Orehovy boulevard, Moscow, 115682
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For citations:
Smirnov A.V., Akhmedyanov A.R., Sazonov D.V., Zlobin A.I., Stankevich V.R., Ivanov Yu.V. Peroral cholangioscopy with thulium laser lithotripsy in complicated choledocholithiasis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2025;30(2):50-56. (In Russ.) https://doi.org/10.16931/1995-5464.2025-2-50-56
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