Case reveals effective removal of impacted pancreatic duct stones using endoscopic laser lithotripsy, suggesting novel techniques may improve patient outcomes.
An impacted pancreatic duct stone can be treated using several techniques, including endoscopic laser lithotripsy (ELL) under peroral pancreatoscopy [1] [2]. However, if there is pancreatic duct dilatation upstream of a pancreatic duct stone, insertion of the pancreatoscope into the main pancreatic duct may be challenging. In addition, due to the limited space of the main pancreatic duct, ELL is sometimes challenging because it may be difficult to adjust the axis between the stone and the laser probe. To overcome this, an ultra-slim cholangiopancreatoscope with the unique characteristic of providing the working channel exit at the 3 o'clock position (7.8 Fr, Briview, SeeGen Co., Ltd., Shanghai, China) has become available ([Fig. 1]). A case of successful pancreatic duct stone removal using this pancreatoscope is described.
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Ogura et al. (2025) studied this question.
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