Wenk H, Thomas S, Baretton G, Schildberg F W
Klinik für Chirurgie, Medizinische Universität zu Lübeck.
Langenbecks Arch Chir. 1989;374(3):169-74. doi: 10.1007/BF01261728.
Since laserinduced shock wave lithotripsy of gallstones is possible for treatment of common bile duct stones, the percutaneous transhepatic laserlithotripsy of stones in the gallbladder is examined in an animal study. In 8 animal experiments it could be shown that puncture of the gallbladder, dilatation of the working channel, (laserinduced) shock wave lithotripsy, removal of the fragments and the instruments are possible in one session. Neither when performing simple closure of the wound by suture nor by fibrinsealing severe side-effects could be recognized. After laserlithotripsy ablation of epithelium and hematomas can be observed, which are restituted within one month. The experiments show that in organ-saving shockwave lithotripsy there is no need for waiting for the development of a fistula and the percutaneous approach can be simplified.
由于激光诱导的冲击波碎石术可用于治疗胆总管结石，因此在一项动物研究中对经皮经肝激光碎石术治疗胆囊结石进行了研究。在8次动物实验中可以表明，在一次手术中可以完成胆囊穿刺、工作通道扩张、（激光诱导）冲击波碎石术、碎片清除以及器械移除。无论是通过缝合简单闭合伤口还是通过纤维蛋白密封，均未发现严重的副作用。激光碎石术后可观察到上皮消融和血肿形成，这些在一个月内可恢复。实验表明，在保留器官的冲击波碎石术中，无需等待瘘管形成，经皮途径可以简化。
