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An endoscopic approach for the diagnosis and treatment of intrahepatic stones is presented based on the experience of 4 cases, in which complete removal of intrahepatic stones was done by postoperative choledochoscopy. Postoperative choledochoscopy for the diagnosis and treatment of gallstone disease is not difficult to perform. The choledochofiberscope is inserted into the bile duct via choledochal fistula 3 weeks after the operation. Stones are crushed or grasped with forceps under direct vision. In some cases, the stricture in the intrahepatic biliary tree is dilated with the use of a high frequency waves cutting knife to facilitate stone removal. In fact, over 410 stones were successfully removed in one case by 28 postoperative choledochoscopies without any complications. The details of the choledochofiberscope developed by us with the close cooperation of Machida Company of Tokyo was presented. Postoperative choledochoscopy seems to be a safe and simple procedure and is useful in the treatment of intrahepatic stones.
K Gocho, and
H Hiratsuka
February 1981,
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
K Gocho, and
H Hiratsuka
August 1980,
Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association,
K Gocho, and
H Hiratsuka
September 1997,
The British journal of surgery,
K Gocho, and
H Hiratsuka
January 1980,
Gastroenterologia Japonica,
K Gocho, and
H Hiratsuka
March 1975,
International surgery,
K Gocho, and
H Hiratsuka
June 1987,
Radiology,
K Gocho, and
H Hiratsuka
September 1988,
Zhonghua wai ke za zhi [Chinese journal of surgery],
K Gocho, and
H Hiratsuka
November 2003,
The British journal of surgery,
K Gocho, and
H Hiratsuka
January 1990,
Surgical endoscopy,
K Gocho, and
H Hiratsuka
June 1980,
American journal of surgery,
