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. 1987 Mar;28(3):267–271. doi: 10.1136/gut.28.3.267

Electrohydraulic lithotripsy of gall stones--in vitro and animal studies.

J Harrison, D L Morris, J Haynes, A Hitchcock, C Womack, D C Wherry
PMCID: PMC1432697  PMID: 3570031

Abstract

Electrohydraulic lithotripsy of human gall stones was investigated in vitro in a bath of saline and in a saline perfused bile duct. The technique was effective--only two stones could not be shattered. Electrohydraulic lithotripsy power requirement correlated with mechanical strength of stones, but not with biochemical composition. A trend toward higher power requirement was recorded with larger stones and stones over 2 cm in diameter could not be fragmented. Safety studies indicated that electrohydraulic lithotripsy was safe, provided the probe tip was not in contact with the bile duct wall. In vivo studies did not show any late effects after 10 days. Electrohydraulic lithotripsy is likely to be useful in the management of biliary calculi.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burhenne H. J. Electrohydrolytic fragmentation of retained common duct stones. Radiology. 1975 Dec;117(3 Pt 1):721–723. doi: 10.1148/117.3.721. [DOI] [PubMed] [Google Scholar]
  2. Ell C., Hochberger J., Müller D., Zirngibl H., Giedl J., Lux G., Demling L. Laser lithotripsy of gallstone by means of a pulsed neodymium-YAG laser--in vitro and animal experiments. Endoscopy. 1986 May;18(3):92–94. doi: 10.1055/s-2007-1018339. [DOI] [PubMed] [Google Scholar]
  3. Kaufman S. L., Harrington D. P., Barth K. H., White R. I., Jr, Cameron J. L. Nonoperative retrieval of impacted intrahepatic biliary stones using the fogarty balloon catheter. Radiology. 1979 Dec;133(3 Pt 1):803–805. doi: 10.1148/133.3.803b. [DOI] [PubMed] [Google Scholar]
  4. Koch H., Stolte M., Walz V. Endoscopic lithotripsy in the common bile duct. Endoscopy. 1977 May;9(2):95–98. doi: 10.1055/s-0028-1098497. [DOI] [PubMed] [Google Scholar]
  5. Lear J. L., Ring E. A., Macoviak J. A., Baum S. Percutaneous transhepatic electrohydraulic lithotripsy. Radiology. 1984 Feb;150(2):589–590. doi: 10.1148/radiology.150.2.6606821. [DOI] [PubMed] [Google Scholar]
  6. Martin E. C., Wolff M., Neff R. A., Casarella W. J. Use of the electrohydraulic lithotriptor in the biliary tree in dogs. Radiology. 1981 Apr;139(1):215–217. doi: 10.1148/radiology.139.1.7208925. [DOI] [PubMed] [Google Scholar]
  7. Perez M. R., Oleaga J. A., Freiman D. B., McLean G. L., Ring E. J. Removal of a distal common bile duct stone through percutaneous transhepatic catheterization. Arch Surg. 1979 Jan;114(1):107–109. doi: 10.1001/archsurg.1979.01370250109024. [DOI] [PubMed] [Google Scholar]
  8. Raney A. M. Electrohydraulic cystolithotripsy. Urology. 1976 Apr;7(4):379–381. doi: 10.1016/0090-4295(76)90250-8. [DOI] [PubMed] [Google Scholar]
  9. Raney A. M. Electrohydraulic ureterolithotripsy. Preliminary report. Urology. 1978 Sep;12(3):284–285. doi: 10.1016/0090-4295(78)90392-8. [DOI] [PubMed] [Google Scholar]
  10. Raney A. M., Handler J. Electrohydraulic nephrolithotripsy. Urology. 1975 Oct;6(4):439–442. doi: 10.1016/0090-4295(75)90623-8. [DOI] [PubMed] [Google Scholar]

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