Percutaneous Transhepatic Choledochoscopic Lithotomy (PTCSL) is Effective for the Treatment of Intrahepatic and Extrahepatic Choledocholithiasis

Zhuo, Hua; Chen, ZeMing; Lin, Runzhui; Yang, Shaohua; Zhuang, Hongcai; He, Chao; Liu, Xingmu

doi:10.1097/sle.0000000000000874

Cited by 7 publications

(3 citation statements)

References 11 publications

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“…There are some next treatment options when endoscopic stone removal is difficult for bile duct stones in post-Rou-en-Y gastrojejunostomy cases: laparoscopic choledochotomy [ 13 , 14 ], open choledocotomy, endoscopic ultrasonography-guided procedure [15 , 16] , rendezvous technique [17 , 18] , PPBD [8 , 9] , and percutaneous transhepatic choledochoscopic lithotomy [19] , etc. Each method has advantages and disadvantages, and each facility tends to select the method that they are familiar with.…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

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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“…PTCSL is minimally invasive. This unconventional surgical treatment for CBD stones has drawn the medical community's attention [9,10]. Previously, the percutaneous transhepatic puncture was performed under X-ray guidance, which is somewhat blind.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound‐Guided Percutaneous Transhepatic Cholangioscopic Lithotripsy for the Treatment of Common Bile Duct Stones and Analysis of Risk Factors for Recurrence

Gao,

Ye,

Hong

et al. 2023

World j. surg.

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Background As a minimally invasive treatment for common bile duct (CBD) stones, ultrasound-guided percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) is gaining attention and recognition from the medical community. Methods A retrospective analysis was conducted on patients with CBD stones treated in our hospital from January 2016 to April 2022. Patients were divided into three groups: 77 treated with PTCSL, 93 with endoscopic retrograde cholangiopancreatography (ERCP), and 103 with laparoscopic common bile duct exploration (LCBDE). Their clinical data, perioperative indicators, and complications were analyzed comparatively. Then, risk factors for the post-PTCSL recurrence of CBD stones were analyzed by logistic regressions. Finally, the receiver operating characteristic curve was drawn. Results All perioperative indicators of the PTCSL group were better than the LCBDE group (P \ 0.001). The incidences of cholangitis, hemobilia, and incisional infection after surgery were lower in the PTCSL group than in the LCBDE group (P \ 0.05). Pancreatitis, reflux esophagitis, and papillary stenosis occurred less frequently in the PTCSL group than in the ERCP group (P \ 0.05). Logistic regression analysis indicated that gallstones and family history were independent risk factors. The AUC for recurrent CBD stones predicted by multi-indicators was 0.895 (95% CI 0.792-0.999, P \ 0.001) with a sensitivity of 96.7% and specificity of 68.8%. Conclusions Ultrasound-guided PTCSL is a safe and effective treatment for CBD stones. Patients recovered quickly with fewer postoperative complications. It can be a first-line treatment for CBD stones. Gallstones and family history are independent risk factors for recurrent CBD stones, which provide a reference for clinicians in identifying the high-risk population needing close follow-up. AbbreviationsPTCSL Percutaneous transhepatic cholangioscopic lithotripsy CBD Common bile duct ERCP Endoscopic retrograde cholangiopancreatography LCBDE Laparoscopic common bile duct exploration ROC Receiver operating characteristic AUC The area under the receiver operating characteristic curve IHD Intrahepatic duct EST Endoscopic sphincterotomy Ziqing Gao, Dalin Ye and Xiaopeng Hong have contributed equally to this work. Wuzhu Lu and Xiaobo Chen are co-corresponding authors.

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“…27 In addition, PTCS is an effective therapeutic tool for intrahepatic/extrahepatic stone extraction and laser lithotripsy, especially in cases inaccessible to ERCP. [27][28][29][30][31]…”

Section: Diagnostic Proceduresmentioning

confidence: 99%

Percutaneous Management of Benign Biliary Strictures

Fang

Kim

Ukeh

et al. 2021

Semin intervent Radiol

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Benign biliary strictures are often due to a variety of etiologies, most of which are iatrogenic. Clinical presentation can vary from asymptomatic disease with elevated liver enzymes to obstructive jaundice and recurrent cholangitis. Diagnostic imaging methods, such as ultrasound, multidetector computed tomography, and magnetic resonance imaging (cholangiopancreatography), are used to identify stricture location, extent, and possible source of biliary obstruction. The management of benign biliary strictures requires a multidisciplinary team approach and include endoscopic, percutaneous, and surgical interventions. Percutaneous biliary interventions provide an alternative diagnostic and therapeutic approach, especially in patients who are not amenable to endoscopic evaluation. This review provides an overview of benign biliary strictures and percutaneous management by interventional radiologists. Diagnostic evaluation with percutaneous transhepatic cholangiography and treatment options, including biliary drainage, balloon dilation, retrievable/biodegradable stents, and other innovative minimally invasive options, are discussed.

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Percutaneous Transhepatic Choledochoscopic Lithotomy (PTCSL) is Effective for the Treatment of Intrahepatic and Extrahepatic Choledocholithiasis

Cited by 7 publications

References 11 publications

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

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

Ultrasound‐Guided Percutaneous Transhepatic Cholangioscopic Lithotripsy for the Treatment of Common Bile Duct Stones and Analysis of Risk Factors for Recurrence

Percutaneous Management of Benign Biliary Strictures

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