Ell C, Lux G, Hochberger J, Müller D, Demling L
Medizinische Klinik mit Poliklinik, Universität Erlangen-Nürnberg, FRG.
Gut. 1988 Jun;29(6):746-51. doi: 10.1136/gut.29.6.746.
Endoscopic retrograde laser lithotripsy of common bile duct stones is a new technique which can be carried out through the endoscope without anaesthesia using ordinary endoscopic equipment. In the method described here a flashlamp pulsed Neodymium YAG laser (wave length 1064 nm) was used. Light energy was transmitted along a highly flexible quartz fibre with a diameter of 0.2 mm. This new technique was used in nine patients with concrements in the common bile duct, which could not be removed with the established endoscopic techniques. In eight of the nine the concrements (maximum diameter 4.7 x 3.1 cm) could be fragmented and in six the fragments could be extracted from the common bile duct. The total energy required was 80-300 J; complications were not observed.
内镜逆行激光碎石术治疗胆总管结石是一项新技术，可通过内镜使用普通内镜设备在无需麻醉的情况下进行。在此描述的方法中，使用了闪光灯泵浦钕钇铝石榴石激光（波长1064纳米）。光能通过一根直径为0.2毫米的高度灵活的石英纤维进行传输。这项新技术用于9例胆总管结石患者，这些结石无法用既定的内镜技术取出。9例中的8例结石（最大直径4.7×3.1厘米）被击碎，6例中的结石碎片从胆总管中取出。所需的总能量为80 - 300焦耳；未观察到并发症。
