January 1988

Fragmentation of Biliary Tract Stones by Lithotripsy Using Local Anesthesia

Author Affiliations

From the Departments of Internal Medicine (Drs Brown and Johlin), Urology (Dr Loening), and Surgery (Drs Dayton and Maher) and the Center for Digestive Diseases (Drs Brown and Johlin), The University of Iowa Hospitals and Clinics, Iowa City.

Arch Surg. 1988;123(1):91-93. doi:10.1001/archsurg.1988.01400250101018

• Extracorporeal shock wave lithotripsy has become an important mode of therapy for renal lithiasis in patients who cannot withstand surgery. Recently, this method has been successful in fragmenting biliary stones in selected healthy patients. We report the successful fragmentation of biliary stones after the administration of local anesthesia in two patients who were poor surgical risks.

(Arch Surg 1988;123:91-93)