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Percutaneous transhepatic choledochoscopic lithotripsy and Interventional radiology techniques hybrid procedure in treatment of complex recurrent hepatolithiasis

  • Haitham Salameen1
  • Yao Cheng1
  • Jian-Ping Gong1
  • Chun-Mu Miao1

1Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, P. R. China

DOI: 10.22514/sv.2020.16.0106 Vol.17,Issue 2,March 2021 pp.231-234

Published: 08 March 2021

*Corresponding Author(s): Chun-Mu Miao E-mail:


Hepatolithiasis is a complex disease with a high recurrence rate, and may lead to recurrent cholangitis, biliary cirrhosis and cholangiocarcinoma. Traditional surgery to treat hepatolithiasis has its shortcomings such as causing injury and incomplete removal of stones. Percutaneous transhepatic choledochoscopic lithotripsy (PTCSL) is a safe and reliable method for hepatolithias causing minimal trauma, a fast recovery and a small incision. Cholangioscopes and ureteroscope inability to reach the target bile duct is usually due to the difficult acute angle of bile duct caused by biliary stricture and biliary fibrosis. We used PTCSL in conjunction with interventional radiology (IR) techniques and Endoscopic retrograde cholangiopancreatography (ERCP) accessories for this situation and achieved an effective stone clearance.


Percutaneous transhepatic choledochoscopic lithotripsy (PTCSL); Interventional ra-diology(IR) techniques; Endoscopic retrograde cholangiopancreatography (ERCP); Recurrent complex hepatolithiasis

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Haitham Salameen,Yao Cheng,Jian-Ping Gong,Chun-Mu Miao. Percutaneous transhepatic choledochoscopic lithotripsy and Interventional radiology techniques hybrid procedure in treatment of complex recurrent hepatolithiasis. Signa Vitae. 2021. 17(2);231-234.


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