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  • Title: Percutaneous transhepatic cholangioscopy and electrohydraulic lithotripsy for bile duct stones.
    Author: Van Steenbergen W, Van Aken L.
    Journal: Neth J Med; 1994 Jul; 45(1):12-20. PubMed ID: 8065479.
    Abstract:
    Percutaneous transhepatic cholangioscopy in combination with intracorporeal electrohydraulic lithotripsy was successfully applied in 3 patients with biliary tract stones which could not be removed by endoscopic techniques. In a fourth patient, cholangioscopy was used as a diagnostic tool for the evaluation of a right hepatic duct stenosis above a hepatico-jejunostomy. The percutaneous transhepatic tract was dilated up to an 18-French size over a period of 1 week. Maturation of the tract was then awaited for another week before cholangioscopic procedures were started. The only complication noticed consisted of haemobilia that occurred in 1 patient after introduction of the initial percutaneous external-internal drainage catheter. Percutaneous cholangioscopy is a promising new technique in our diagnostic and therapeutic strategy in patients with complex biliary tract disorders.
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