Abstract: A 1.4-1.6 mm diameter microendoscope is introduced into a duct leading to the submaxillary or parotid glands containing a concrement. The endoscope is adapted to contain a working channel, an image bundle, a light bundle and a wire, all structure fixedly spaced apart within the microendoscope. A laser fiber is inserted into the working channel to the concrement and the concrement is fragmented with a laser shock wave while flushing the fragments away through the working channel.