The holmium:YAG laser has been used effectively for a wide variety of urina
ry calculi. No cases have been reported of its in vivo use in the biliary s
ystem. In this report, we describe its utility in intracorporeal lithotrips
y of intrahepatic biliary stones and the urologist's role in providing expe
rtise in small-caliber endoscopy and lithotripsy to other disciplines.