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.

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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.

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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.

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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.

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Flushing

Saline 0.9% 3 L.

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