Endoscopic retrograde contact electro-impulse lithotripsy and lithotomy
https://doi.org/10.16931/1995-5464.2023-1-104-108
Abstract
The paper presents clinical observation of a patient with cholelithiasis and so-called “difficult” choledocholithiasis. Considering the developed complications – mechanical jaundice and purulent cholangitis, as well as large operative risk, it was decided to refrain from open surgical intervention. Traditionally-performed endoscopic stone extraction did not provide any success. Contact electro-impulse lithotripsy and lithotomy were performed. This enabled choledocholithiasis and cholangitis to be eliminated, bile ducts patency to be restored, and ensured the possibility of safe elective surgical intervention for chronic calculous cholecystitis.
About the Authors
A. E. Tseimakh
Altai State Medical University
Russian Federation
Russian Federation
Alexander E. Tseimakh – Cand. of Sci. (Med.), Associate Professor, Neymark Faculty Surgery Department with a course of advanced professional education
40, Lenina prosp., Barnaul, 656038
Phone: +7-909-504-45-47
V. A. Kurtukov
Municipal Hospital No. 5, Barnaul
Russian Federation
Russian Federation
Vitaly A. Kurtukov – Cand. of Sci. (Med.), Head of Endoscopy Unit
75, Zmeinogorsky tract, Barnaul, 656045
V. N. Tepluhin
Municipal Hospital No. 5, Barnaul
Russian Federation
Russian Federation
Valeriy N. Tepluhin – Head of Surgery Unit
75, Zmeinogorsky tract, Barnaul, 656045
Y. N. Shoikhet
Altai State Medical University
Russian Federation
Russian Federation
Yakov N. Shoikhet – Doct. of Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Head of Neymark Faculty Surgery Department, Hospital Surgery Department with a course of advanced professional education
40, Lenina prosp., Barnaul, 656038
References
1. Manes G., Paspatis G., Aabakken L., Anderloni A., Arvanitakis M., Ah-Soune P., Barthet M., Domagk D., Dumonceau J.M., Gigot J.F., Hritz I., Karamanolis G., Laghi A., Mariani A., Paraskeva K., Pohl J., Ponchon T., Swahn F., Ter Steege R.W.F., Tringali A., Vezakis A., Williams E.J., van Hooft J.E. Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2019; 51(5):472-491. https://doi.org/10.1055/a-0862-0346. Epub 2019 Apr 3. PMID: 30943551.
2. ASGE Standards of Practice Committee, Buxbaum J.L., Abbas Fehmi S.M., Sultan S., Fishman D.S., Qumseya B.J., Cortessis V.K., Schilperoort H., Kysh L., Matsuoka L., Yachimski P., Agrawal D., Gurudu S.R., Jamil L.H., Jue T.L., Khashab M.A., Law J.K., Lee J.K., Naveed M., Sawhney M.S., Thosani N., Yang J., Wani S.B. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc. 2019;89(6):1075-1105.e15. https://doi.org/10.1016/j.gie.2018.10.001. Epub 2019 Apr 9. PMID: 30979521; PMCID: PMC8594622.
3. Wu Y., Xu C.J., Xu S.F. Advances in Risk Factors for Recurrence of Common Bile Duct Stones. Int J Med Sci. 2021;18(4):1067-1074. https://doi.org/10.7150/ijms.52974. PMID: 33456365; PMCID: PMC7807200.
4. Tanaja J., Lopez R.A., Meer J.M. Cholelithiasis. 2021 Dec 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 - PMID: 29262107.
5. McNicoll C.F, Pastorino A., Farooq U., St Hill C.R. Choledocholithiasis. 2021 Aug 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 - PMID: 28722990.
6. Cianci P., Restini E. Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches. World J Gastroenterol. 2021;27(28):4536-4554. https://doi.org/10.3748/wjg.v27.i28.4536. PMID: 34366622; PMCID: PMC8326257.
Supplementary files
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1. Титульный лист и резюме | |
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| Type | Исследовательские инструменты | |
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| Title | Титульный лист и резюме | |
| Type | Исследовательские инструменты | |
| Date | 2022-07-21 |
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2. Сопроводительные документы | |
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| Title | Сопроводительные документы | |
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| Date | 2022-07-21 |
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3. Отчет системы Антиплагиат | |
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| Title | Отчет системы Антиплагиат | |
| Type | Исследовательские инструменты | |
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4. Рисунок 1 | |
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Fig. 1. Endoscopic retrograde cholangiopancreatography. Large calculus in the lumen of the common bile duct.
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| Date | 2022-07-21 |
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Fig. 2. Endoscopic retrograde cholangiopancreatography. With the introduction of Dormia's basket, the stone wedged into the left lobar duct. |
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Fig. 3. Endoscopic retrograde cholangiopancreatography. Transpapillary videocholedochoscopy. Bringing down the calculus with a POC MTW guide catheter for the study of the intrahepatic bile ducts. |
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| Date | 2022-07-21 |
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7. Рисунок 4 | |
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Fig. 4. Endoscopic retrograde cholangiopancreatography. The brought down stone stuck in the distal part of the common bile duct. |
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| Date | 2022-07-21 |
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8. Рисунок 5 | |
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Fig. 5. Transpupillary video choledochoscopy. The brought down stone stuck in the distal part of the common bile duct.
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| Date | 2022-07-21 |
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9. Рисунок 6 | |
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Fig. 6. Endoscopic retrograde cholangiopancreatography. Contact endoscopic electropulse lithotripsy. |
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| Date | 2022-07-21 |
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Fig. 7. Transpupillary video choledochoscopy. Contact endoscopic electropulse lithotripsy. |
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| Date | 2022-07-21 |
Review
For citations:
Tseimakh A.E., Kurtukov V.A., Tepluhin V.N., Shoikhet Y.N. Endoscopic retrograde contact electro-impulse lithotripsy and lithotomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2023;28(1):104-108. (In Russ.) https://doi.org/10.16931/1995-5464.2023-1-104-108
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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)
ISSN 2408-9524 (Online)
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