ENDOSCOPIC REMOVAL OF INTRAHEPATIC CALCULI

Abstract

This paper is to present two cases with intrahepatic calculi, of which calculi were all successfully removed post-operatively under the guidance of choledochoscopy. Forty-two trials for first case, a 34-year-old female, and eleven trials for second case, a 47-year-old female, had been carried out until all intrahepatic calculi were successfully removed. Both patients remain well with no further symptom. The authers suggest that successive efforts in endoscopic approach will contribute to lessen the need for subsequent surgical intervention. Moreover, it is emphasized that choledochoscopy and selective cholangiography are also extremely helpful for the diagnosis of intrahepatic calculi.