Gallbladder perforation during peroral holmium laser lithotripsy

Video 1 Gallbladder perforation during peroral holmium laser lithotripsy. Fig. 3 a, b Peroral choledochoscope detection of multiple large stones in the gallbladder.c Holmium laser lithotripsy.d Gallbladder perforation occurring during the lithotripsy (arrow).e Nasobiliary tube placement for continuous negative-pressure bile drainage. Fig. 4 a The second lithotripsy session, b-d stone extraction, and e complete healing of the perforation in the gallbladder after 1 week.