Percutaneous stone removal using cobra-shaped sheath and cholangioscopy for multiple hepatolithiasis with choledochoduodenal anastomotic stenosis

Chikamori, Fumio; Shimizu, Shigeto; Ito, Satoshi; Okazaki, Michiyo; Tanida, Nobuyuki; Sharma, Niranjan

doi:10.1016/j.radcr.2022.03.007

Cited by 2 publications

(4 citation statements)

References 17 publications

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“…The application of a cobra-shaped sheath in PTCS has been reported to enhance its efficiency ( 54 ), and we believe that PTCS will continue to gain popularity in the future.…”

Section: Complications Of Ptcsmentioning

confidence: 88%

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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“…The application of a cobra-shaped sheath in PTCS has been reported to enhance its efficiency ( 54 ), and we believe that PTCS will continue to gain popularity in the future.…”

Section: Complications Of Ptcsmentioning

confidence: 88%

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

Wang,

2024

Quant Imaging Med Surg

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“…Endoscopic stone removal is an effective and less invasive technique for common bile duct stones. Bile duct stones in Roux-en-Y reconstruction cases have become treatable with the application of balloon endoscopy [5 , 6] , but there are still cases where stone removal is difficult [7] . Even in the usual cases of bile duct stones without Roux-en-Y reconstruction, the recurrence rate of bile duct stones after endoscopic stone removal has been reported 4% - 24%.…”

Section: Discussionmentioning

confidence: 99%

“…The sheath contributes to ensuring the operability and strength of the balloon catheter in stone removal. Recently, we could successfully treat a case of multiple hepatolithiasis with choledochoduodenal anastomotic stenosis by using this sheath [7] . The sheath was also useful for guiding the stone removal catheter to the periphery of the bile duct.…”

Section: Discussionmentioning

confidence: 99%

“…With advances in endoscopic technology, endoscopists are actively challenging bile duct stone removal in patients who have undergone Roux-en-Y reconstruction or Billroth's operation II [5 , 6] . However, in clinical practice, there are some cases with bile duct stones that are still difficult to treat [7] . There is no established next-line treatment after endoscopic removal of bile duct stones fails.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Stone removal by percutaneous papillary balloon dilatation for cystic duct and bile duct stones after cholecystectomy and distal gastrectomy with Roux-en-Y gastrojejunostomy

Chikamori

Ueta

Onishi

et al. 2023

Radiology Case Reports

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Percutaneous stone removal using cobra-shaped sheath and cholangioscopy for multiple hepatolithiasis with choledochoduodenal anastomotic stenosis

Cited by 2 publications

References 17 publications

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

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

Stone removal by percutaneous papillary balloon dilatation for cystic duct and bile duct stones after cholecystectomy and distal gastrectomy with Roux-en-Y gastrojejunostomy

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