Laparolithic Cholecystectomy

laboratory data and first clinical case

Leonard S. Schultz*, John A. Cartmill, John N. Graber, David F. Hickok

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A method of laparoscopic cholecystectomy is described. After control of the cystic duct and artery, gallstones are emulsified with a laparoscopic lithotriptor and the debris aspirated from the gallbladder. The free wall of the gallbladder is excised and the remaining gallbladder mucosa ablated with holmium:yttrium-aluminum– garnet (Ho:YAG) laser. This technique eliminates the need for dissection of the gallbladder from the liver, thereby reducing the possibility of hemorrhage from the gallbladder fossa. At the same time stones and bile are aspirated so that the excised portion of gallbladder can be easily removed though an access port without spillage of contaminated bilious debris into the abdominal cavity or puncture wound that could cause infection. Acute and chronic animal studies confirm the feasability of this technique. A clinical case is described.

Original languageEnglish
Pages (from-to)135-137
Number of pages3
JournalJournal of Clinical Laser Medicine and Surgery
Volume11
Issue number3
DOIs
Publication statusPublished - 1993
Externally publishedYes

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