ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (virtual)

Video Transcription

Video Summary

In this video, the speakers discuss the use of laser and EHL (electrohydraulic lithotripsy) in stone fragmentation procedures. They mention that in Europe, there are regulations regarding the use of laser in certain room layouts, which can limit its flexibility. EHL is preferred because it is easier to transport and can be quickly set up in the operating room. They also discuss the need for multiple probes when dealing with larger stones, as there is a limited number of shots that can be delivered over time. The speakers agree that EHL is generally safer and easier to use, especially for beginners. They mention that there is no significant difference in efficacy between laser and EHL, and the cost of using EHL is not significantly higher. The video also briefly touches on choosing between cholangioscopy and other methods for stone removal, such as balloon sphincteroplasty. The speakers emphasize the importance of pre-planning and considering factors like stone size and shape when deciding on the best approach.

Keywords

laser

EHL

stone fragmentation

regulations

room layouts