Multi-institutional Retrospective Study of Percutaneous Cholangioscopy-Assisted Lithotripsy for Inoperable Calculous Cholecystitis

Jain, Neil; Sens, Jonah; Deolankar, Juhi; Marchalik, Daniel; McClure, Timothy; Browne, William F.; Smirniotopoulos, John

doi:10.1016/j.jvir.2022.12.024

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…To mitigate complications during biliary tract exploration, especially in therapeutic PTCS ( 20 ), a smaller-caliber cholangioscope can be used. However, a study reported a 100% success rate for PTCS in stones larger than 1 cm, with no serious postoperative complications ( 57 ). In the establishment of a working pathway, the sheath serves the dual purpose of straightening the working pathway of cholangioscopy and preventing the lithotomy instrument from damaging the bile duct wall.…”

Section: Complications Of Ptcsmentioning

confidence: 99%

Percutaneous transhepatic choledochoscopy in the management of hepatolithiasis: a narrative review

Wang,

2024

Quant Imaging Med Surg

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Background and Objective From the 1980s and continuing into the 21st century, percutaneous transhepatic choledoscopy (PTCS) has been increasingly used in the clinical management of cholelithiasis. However, when compared to conventional minimally invasive techniques such as endoscopic retrograde cholangiopancreatography (ERCP), PTCS is characterized by greater invasiveness and a higher rate of complications. As a result, PTCS is frequently used as a supplementary treatment option. Nevertheless, it plays a unique and indispensable role in addressing hepatolithiasis. In this study, to facilitate safer clinical applications and gain a deeper understanding of PTCS-related complications, we conducted a comprehensive examination of these complications. Methods Research studies related to PTCS were reviewed in PubMed, Web of Science, and China National Knowledge Infrastructure (CNKI) (year range, 1952–2024). There was no restriction on language. The occurrence and management of complications at various steps of PTCS were examined and compared with those of first-line minimally invasive treatments via a tabular method. Additionally, we evaluated the feasibility of using PTCS in the context of intrahepatic bile duct stones. Key Content and Findings Information on the types, incidence, and treatment of complications of PTCS was extracted in this review. A total of 5,923 results were retrieved, of which 41 were excluded. The reason for exclusion was that the article was a meeting comment. The findings indicate that PTCS plays an important role in the treatment of biliary tract diseases. Conclusions Although PTCS is frequently used as an adjunctive therapeutic approach, its distinct utility in treating intrahepatic bile duct stones remains difficult to replace. Thus, a deeper understanding of PTCS-related complications, coupled with ongoing advancements in instrumentation, could significantly enhance the efficiency of minimally invasive gallstone management.

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Section: Complications Of Ptcsmentioning

confidence: 99%