Basket-in-catheter access for transcystic laparoscopic bile duct exploration: technique and results

Qandeel, Haitham; Zino, Samer; Hanif, Zulfiqar; Nassar, Mahmoud K.; Nassar, Ahmad H M

doi:10.1007/s00464-015-4421-5

Cited by 18 publications

(10 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is the basket in catheter technique. 9 Once the basket engaged a stone, it was then delivered. Authors used this maneuver in most of our cases.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of different methods of laparoscopic treatment of common bile duct stones

2019

View full text Add to dashboard Cite

Background: Common bile duct (CBD) stones are the second most common complication of gall bladder stones. The best management of patients with CBD stones remains controversial. The aim of this study was to evaluate the methods of laparoscopic CBD exploration (LCBDE).Methods: This prospective study was conducted on 30 patients with CBD stones through 2 years. CBD stricture was excluded. Authors used transcystic and transcholedochotomy approaches for LCBDE either with or without choledoschope. Primary repair of the choledochotomy incision was done. Results: The mean age was 48.90±11.84 years. Biliary colic was the presentation in 63.3% of patients. The transcystic approach for CBD exploration was used in 16 cases without conversion, 11 cases were completed without choledochoscope, while 5 cases with choledochoscopic guided extraction. Choledochotomy approach had been used in 13 cases, 6 cases were completed with choledochoscope and 7 cases without it, two cases of them failed. One case failed from the beginning and was converted to open exploration. 5 ERCP previously inserted stents were removed. The mean operative time was 162.33±74.67 min. Bile leakage occurred in 2 cases following the choledochotomy approach. The mean hospital stay was 3.37±1.38 days.Conclusion: LCBDE is a feasible, effective and safe approach to bile duct stones. Depending on proper training and gaining experience.

show abstract

“…This is the basket in catheter technique. 9 Once the basket engaged a stone, it was then delivered. Authors used this maneuver in most of our cases.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of different methods of laparoscopic treatment of common bile duct stones

2019

View full text Add to dashboard Cite

show abstract

“…La vía transcística es la ideal, pero esto depende de algunas consideraciones anatómicas como el tamaño del cístico, distorsión, obstrucción, inflamación o estenosis del cístico, alteraciones de las válvulas de Heister, variantes anatómicas en la implantación del conducto cístico o adherencias firmes en la unión del cístico con la VB común, además del tamaño, número, localización y consistencia de los cálculos. Cuando se hace exploración transcística, su curso es similar al de una colecistectomía con mínimo trauma, rápida recuperación y corta hospitalización, muchas veces también ambulatoria, como una colecistectomía simple [35][36][37] .…”

Section: Discussionunclassified

Coledocolitiasis y exploración laparoscópica de la vía biliar. Un estudio de cohorte

et al. 2021

View full text Add to dashboard Cite

Introducción. La coledocolitiasis es la presencia de cálculos en las vías biliares. En la mayoría de los casos se trata mediante la colangio pancreatografía retrógrada endoscópica y menos comúnmente por intervención quirúrgica laparoscópica. El objetivo de este estudio fue describir una cohorte retrospectiva de pacientes sometidos a exploración laparoscópica de la vía biliar. Métodos. Se incluyeron pacientes intervenidos entre los años 2014 y 2018, en dos instituciones de nivel III en Cali, Colombia, referidos para valoración por cirugía hepato-biliar, por dificultad para la extracción de los cálculos por colangio pancreatografia retrograda endoscópica, debido al tamaño, la cantidad, o la dificultad para identificar o canular la papila duodenal. Resultados. De los 100 pacientes incluidos, se encontró que el 72 % fueron mujeres, con rango de edad entre 14 y 92 años. Al 39 % de los pacientes se les extrajo un solo cálculo y al 16 % 10 cálculos. Un 12 % presentaron cálculos gigantes (mayores de 2,5 cm de ancho) y un 44 % presentaron litiasis múltiple. Al 69 % de los pacientes se les realizó colecistectomía. El porcentaje de éxito de limpieza de la vía biliar por laparoscopia fue del 95 %. Discusión. La exploración laparoscópica de la vía biliar es una técnica posible, reproducible, segura y con excelentes resultados para el manejo de la coledocolitiasis.

show abstract

“…TCE was initially performed using blind basket trawling. The first author later introduced the ‘‘basket in catheter’’ technique 7 (Supplemental Media 1, http://links.lww.com/SLA/D100. Failure to retrieve stones after 3 attempts indicated choledochoscopy.…”

Section: Methodsmentioning

confidence: 99%

Utilization of Laparoscopic Choledochoscopy During Bile Duct Exploration and Evaluation of the Wiper Blade Maneuver for Transcystic Intrahepatic Access

Nassar

Gough

et al. 2023

Annals of Surgery

View full text Add to dashboard Cite

Objective: This study aims to examine the indications, techniques, and outcomes of choledochoscopy during laparoscopic bile duct exploration and evaluate the results of the wiper blade maneuver (WBM) for transcystic intrahepatic choledochoscopy. Summary of Background Data: Choledochoscopy has traditionally been integral to bile duct explorations. However, laparoscopic era studies have reported wide variations in choledochoscopy availability and use, particularly with the increasing role of transcystic exploration. Methods: The indications, techniques, and operative and postoperative data on choledochoscopy collected prospectively during transcystic and choledo-chotomy explorations were analyzed. The success rates of the WBM were evaluated for the 3 mm and 5 mm choledochoscopes. Results: Of 935 choledochoscopies, 4 were performed during laparoscopic cholecystectomies and 931 during 1320 bile duct explorations (70.5%); 486 transcystic choledochoscopies (52%) and 445 through choledochotomies (48%). Transcystic choledochoscopy was utilized more often than blind exploration (55.7%% vs 44.3%) in patients with emergency admissions, jaundice, dilated bile ducts on preoperative imaging, wide cystic ducts, and large, numerous or impacted bile duct stones. Intrahepatic choledochoscopy was successful in 70% using the 3 mm scope and 81% with the 5 mm scope. Choledochoscopy was necessary in all 124 explorations for impacted stones. Twenty retained stones (2.1%) were encountered but no choledochoscopy related complications. Conclusions: Choledochoscopy should always be performed during a chol-edochotomy, particularly with multiple and intrahepatic stones, reducing the incidence of retained stones. Transcystic choledochoscopy was utilized in over 50% of explorations, increasing their rate of success. When attempted, the transcystic WBM achieves intrahepatic access in 70%-80%. It should be part of the training curriculum.

show abstract

Basket-in-catheter access for transcystic laparoscopic bile duct exploration: technique and results

Abstract: We demonstrate a technique to facilitate the insertion of extraction baskets into the common bile duct using the cholangiography catheter as a guide. The 'basket-in-catheter' (BIC) technique for transcystic CBD exploration is easier and safer than inserting the basket alone.

Cited by 18 publications

References 16 publications

Evaluation of different methods of laparoscopic treatment of common bile duct stones

Evaluation of different methods of laparoscopic treatment of common bile duct stones

Coledocolitiasis y exploración laparoscópica de la vía biliar. Un estudio de cohorte

Utilization of Laparoscopic Choledochoscopy During Bile Duct Exploration and Evaluation of the Wiper Blade Maneuver for Transcystic Intrahepatic Access

Contact Info

Product

Resources

About