Endoscopic laser lithotripsy as an option of treatment tactics of complicated choledocholithiasis in the patient aged 96 years

Abstract

We present the case of treatment of choledocholithiasis complicated with obstructive jaundice and acute grade II cholangitis according to Tokyo criteria in the female patient aged 96 years with significant comorbidity. Peroral digital cholangioscopy and laser contact lithotripsy were made. No complications were observed in postoperative period, and the manifestations of cholangitis and obstructive jaundice regressed. In our opinion, high efficacy and safety of the used method are the strong argument for the use in patients with difficult choledocholithiasis who have significant comorbidities during the single-stage endoscopic operation.

Keywords

• complicated choledocholithiasis
• patient from iv group asa
• endoscopic retrograde cholangiopancreaticography
• peroral cholangioscopy
• laser lithotripsy