Kouzu T, Sato H
Prog Clin Biol Res. 1984;152:321-32.
Application of the Nd:YAG laser to cholangioscopic lithotomy allows lithotomy for stones that are difficult to remove by conventional methods. Also, when the laser is used in conjunction with PTCD under echo guidance, treatment is completed within a shorter period of time by endoscopic lithotomy than by surgery cases of residual intrahepatic stones, recurrent stones, and for some primary cases. Further, laser irradiation under cholangioscopy is also effective for dilatation of strictured anastomosis after hepaticojejunostomy. It is expected that in the future, preoperative endoscopic lithotomy by laser for hepatolithiasis will come into wide use.
将钕钇铝石榴石激光应用于胆管镜取石术，可用于取出传统方法难以取出的结石。此外，当在超声引导下将激光与经皮肝穿刺胆管引流术联合使用时，对于残留肝内结石、复发性结石以及一些原发性病例，内镜取石术比手术能在更短时间内完成治疗。此外，胆管镜下激光照射对肝空肠吻合术后狭窄吻合口的扩张也有效。预计未来，激光术前内镜取石术在肝内胆管结石治疗中将得到广泛应用。
