Contact lithotripsy in treatment of choledocholithiasis

Razmakhnin E.V.; Khyshiktuev B.C.; Lobanov S.L.

doi:https://doi.org/

Razmakhnin E.V.

Department of faculty surgery ,Department of biochemistry, Chita State Medical academy

Khyshiktuev B.C.

Chitinskaia gosudarstvennaia meditsinskaia akademiia Minzdrava RF

Lobanov S.L.

Department of faculty surgery ,Department of biochemistry, Chita State Medical academy

Contact lithotripsy in treatment of choledocholithiasis

Authors:

Razmakhnin E.V., Khyshiktuev B.C., Lobanov S.L.

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Journal: Pirogov Russian Journal of Surgery. 2014;(7): 34‑37

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To cite this article:

Razmakhnin EV, Khyshiktuev BC, Lobanov SL. Contact lithotripsy in treatment of choledocholithiasis. Pirogov Russian Journal of Surgery. 2014;(7):34‑37. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

It was suggested to use contact ultrasonic lithotripsy in lumen of common bile duct during laparoscopic surgery in order to preserve the sphincter apparatus of major duodenal papilla. Waveguide with original structure was used for lithotripsy performing. Waveguide's total length is 400 mm. It has a radially curved 40 degrees broken part with diameter of 6 mm cone rolling in working portion with diameter of 4 mm and length of 60 mm for introduction in common bile duct. There is concave lens on waveguide working portion end with diameter of 1 mm. A lens permits concentrating the waves beam in longitudinal direction avoiding its scattering and minimizing the impact on surrounding tissues. Lithotripsy efficiency was proved in the in vitro (n=68) and in vivo (n=20) experiments. Such structure of waveguide permits to penetrate in lumen of common bile duct through dilated cystic duct or choledochendysis for calculi fragmentation.

Keywords:

choledocholithiasis

waveguide

lithotripsy

Authors:

Razmakhnin E.V.

Department of faculty surgery ,Department of biochemistry, Chita State Medical academy

Khyshiktuev B.C.

Chitinskaia gosudarstvennaia meditsinskaia akademiia Minzdrava RF

Lobanov S.L.

Department of faculty surgery ,Department of biochemistry, Chita State Medical academy

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References:

Аndrienko L.D. Puti uluchsheniya rezul'tatov lecheniya ostrogo kholetsistita, oslozhnennogo kholedokholitiazom, u bol'nykh pozhilogo i starcheskogo vozrasta [Ways to improve the results of treatment of acute cholecystitis complicated by choledocholithiasis in elderly and senile patients]: Аvtoref. dis. ... kand. med. nauk. KHabarovsk 2009; 93. (in Russian)
Borisov А.E. Rukovodstvo po khirurgii pecheni i zhelchevyvodyashhikh putej [Guidelines for surgery of the liver and biliary tract]. SPb: Skifiya 2003; 1: 560. (in Russian)
Voropaj E.S., Ermalitskaya K.F., Zazhogin А.P. i dr. Аtomno-ehmissionnyj mnogokanal'nyj spektral'nyj analiz: nauchnoe I prakticheskoe primenenie [Atomic emission spectral multi-channel analysis: scientific and practical application]. Vestnik Belorusskogo gosudarstven-nogo universiteta 2009; 1: 14-20. (in Russian)
Kanishhev YU.V. Diagnosticheskaya i operativnaya ehndoskopiya zhelchnokamennoj bolezni i ee oslozhnenij [Diagnostic and surgical endoscopy of gallstone disease and its complications]: Аvtoref. dis. ... d-ra med. nauk. Kursk 2008; 285. (in Russian)
Odintsov M.V. Volnovodnoe rasprostranenie ul'trazvuka [Waveguide propagation of ultrasound]. Molodoj uchenyj 2011; 4: 46-49. (in Russian)
Rudenko O.V. Nelinejnye volny: nekotorye biomeditsinskie prilozheniya [Nonlinear waves: some biomedical applications]. Uspekhi fizicheskikh nauk 2007; 4: 374-383. (in Russian)
Ryzhkova O.V. Kliniko-patogeneticheskie osobennosti, rasprostranennost' i lechenie zhelchnokamennoj bolezni u rabotnikov neftyanoj promyshlennosti Tatarstana s pozitsii sistemnogo podkhoda [Clinico-pathogenetic features, prevalence and treatment of gallstone disease in workers in the petroleum industry of Tatarstan]: Аvtoref. dis. ... d-ra med. nauk. Kazan' 2007. (in Russian)
Chang W.H., Chu C.H., Wang Т.Е. Outcome of simple use of mechanical lithotripsy of difficult common bile duct stones. World J Gastroenterol 2005; 11: 4: 593-596.
Gossot D. Ultrasonic Dissection for endoscopic surgery. Surgical Endoscopy 1999; 13: 412-417.
Thornton D.J.А., Robertson A., Alexander D.J. Laparoscopic cholecystectomy without routine operative cholangiography does not result in significant problems related to retained stones. Surg Endosc 2002; 16: 592-595.