Case Reports in Gastrointestinal Medicine / 2019 / Article / Tab 1

Case Report

Removal of Common Bile Ducts Stones via Percutaneous Access with a Flexible Ureteroscope and Laser Assistance

Table 1

Technique of PTC with assistance of the ureteroscope.

Standard PTC
Ultrasound guidance
NEFF set: transitional dilator with a hollow stainless steel wire and a Chiba needle with an obturator.
Introduction of a 7 French sheath over a stiff guide wire.
Via the left intra‐hepatic biliary tract catheterisation of the duodenum with vertebral catheter and Terumo angled wire.
For in‐ and external drainage placing of a 10 French biliary drain over stiff wire.

Flexible ureteroscope
Olympus URF‐V2
Uropass ureteral access sheat 24 cm, 12/14 French from Olympus, and a continue flow saline 0.9%.
Laserprobe 230 µm Boston Scientific.
Holmium laser StarMedTec: 8 Herz with 800 mJoule.

Lithotrypsy
Placing of a second guide wire as safety wire.
Introducing the stiff guide‐wire and placing of a 12/14 French sheath to make introduction of the ureteroscope possible.

Flushing
Saline 0.9% 3 L.

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