Successful endoscopic treatment of giant multiple choledocholithiasis using oral transpapillary cholangioscopy and intraductal contact lithotripsy

S. A. Budzinskiy; S. G. Shapovalyants; E. A. Vorobyova; P. S. Kozlova; N. S. Solovjev; E. N. Platonova; E. D. Fedorov

doi:10.16931/1995-5464.2023-1-109-115

Successful endoscopic treatment of giant multiple choledocholithiasis using oral transpapillary cholangioscopy and intraductal contact lithotripsy

S. A. Budzinskiy, S. G. Shapovalyants, E. A. Vorobyova, P. S. Kozlova, N. S. Solovjev, E. N. Platonova, E. D. Fedorov

https://doi.org/10.16931/1995-5464.2023-1-109-115

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Abstract

The paper presents a clinical case of successful staged endoscopic treatment for giant multiple choledocholithiasis. Conventional surgery was contraindicated in the patient due to significant comorbidities and high anaesthetic risk. Contact lithotripsy was the basic minimally invasive treatment method. It was combined with balloon dilatation of the endoscopic papillosphincterotomy area and mechanical intraductal lithotripsy. Contact lithotripsy in oral transpapillary cholangioscopy, in combination with other modern methods for endoscopic treatment of choledocholithiasis, has a good technical and clinical effect even with giant calculi.

Keywords

cholelithiasis, giant choledocholithiasis, cholangioscopy, intraductal lithotripsy, balloon dilatation

About the Authors

S. A. Budzinskiy

Department of Hospital Surgery No2 with Research Laboratory of Surgical Gastroenterology and Endoscopy, Pirogov Russian National Research Medical University; City Clinical Hospital No31 of Moscow Healthcare Department
Russian Federation

Stanislav A. Budzinsky – Doct. of Sci. (Med.), Chief Researcher of the Department of Hospital Surgery No2 with Research Laboratory of Surgical Gastroenterology and Endoscopy, Pirogov Russian National Research Medical University; Head of Endoscopy Department, City Clinical Hospital No31 of Moscow Healthcare Department

1, Ostrovityanova str., Moscow, 117997

42, p. 1, Lobachevsky str., Moscow, 119620

S. G. Shapovalyants

Department of Hospital Surgery No2 with Research Laboratory of Surgical Gastroenterology and Endoscopy, Pirogov Russian National Research Medical University
Russian Federation

Sergey G. Shapovalyants – Doct. of Sci. (Med.), Professor, Head of the Department

1, Ostrovityanova str., Moscow, 117997

E. A. Vorobyova

Elizaveta A. Vorobyova – Junior Researcher of the Department of Hospital Surgery No2 with Research Laboratory of Surgical Gastroenterology and Endoscopy, Pirogov Russian National Research Medical University; Endoscopist – City Clinical Hospital No31 of Moscow Healthcare Department

1, Ostrovityanova str., Moscow, 117997

42, p. 1, Lobachevsky str., Moscow, 119620

P. S. Kozlova

Department of Hospital Surgery No2 with Research Laboratory of Surgical Gastroenterology and Endoscopy, Pirogov Russian National Research Medical University
Russian Federation

Polina S. Kozlova – Resident Physician of the Department

1, Ostrovityanova str., Moscow, 117997

N. S. Solovjev

City Clinical Hospital No31 of Moscow Healthcare Department
Russian Federation

Nikolay S. Solovyov – Surgeon

42, p. 1, Lobachevsky str., Moscow, 119620

E. N. Platonova

City Clinical Hospital No31 of Moscow Healthcare Department
Russian Federation

Elena N. Platonova – Cand. of Sci. (Med.), Clinical Director

42, p. 1, Lobachevsky str., Moscow, 119620

E. D. Fedorov

Evgeny D. Fedorov – Doct. of Sci. (Med.), Professor, Chief Researcher of the Department of Hospital Surgery No2 with Research Laboratory of Surgical Gastroenterology and Endoscopy, Pirogov Russian National Research Medical University; Deputy Chief Physician for Medical Care – City Clinical Hospital No31 of Moscow Healthcare Department

1, Ostrovityanova str., Moscow, 117997

42, p. 1, Lobachevsky str., Moscow, 119620

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Review

For citations:

Budzinskiy S.A., Shapovalyants S.G., Vorobyova E.A., Kozlova P.S., Solovjev N.S., Platonova E.N., Fedorov E.D. Successful endoscopic treatment of giant multiple choledocholithiasis using oral transpapillary cholangioscopy and intraductal contact lithotripsy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2023;28(1):109-115. (In Russ.) https://doi.org/10.16931/1995-5464.2023-1-109-115

This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)

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	Title	Рисунок 2
	Date	2022-10-23

	Title	Рисунок 1
	Date	2022-10-23

	Title	Рисунок 4
	Date	2022-10-23

Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

Successful endoscopic treatment of giant multiple choledocholithiasis using oral transpapillary cholangioscopy and intraductal contact lithotripsy