1. What is “minimally invasive (percutaneous) hepatobiliary lithotripsy and lithotripsy”?
Fang Tianling, Department of General Surgery, The First Hospital of Guangzhou Medical University
B ultrasound-guided access to the biliary system of the liver is made through a tiny “portal” in the abdomen.
Through the “skin-abdominal-intrahepatic bile duct” channel, the bile duct stones can be broken up and removed, flushed and drained in one or more times under direct visualization, eliminating the need for incision.
2. Who are suitable for “minimally invasive (percutaneous) hepatic bile duct lithotripsy and stone extraction”?
Complex intrahepatic or extrahepatic multiple bile duct stones.
Large stones in the common bile duct.
Multiple abdominal surgeries or severe abdominal adhesions.
Advanced age, complex previous disease, and intolerance of open surgery.
Those who have undergone previous gastrointestinal rerouting and reconstruction surgery.
Those whose stones cannot be removed by ERCP.
Minimally invasive (percutaneous) hepatobiliary lithotripsy can be attempted in cases of combined biliary trematodes and ascaris.