Subscribe to RSS
DOI: 10.1055/a-2201-6871
Single-operator cholangioscopy system for management of acute cholecystitis secondary to choledocholithiasis
Supported by: Jilin Province Health Science and Technology Capacity Improvement Program 2021LC120Supported by: Jilin Medical and Health Guidance Program 20210409008
Abstract
This study aimed to investigate the safety and efficacy of endoscopic retrograde cholangiopancreatography (ERCP) + EyeMax (single-operator cholangioscopy system; SOC) (i.e., ERCP+SOC) for the treatment of choledocholithasis-associated acute cholecystitis. Twenty-five patients were evaluated between January 2022 and June 2023. The success rate (technical + clinical), procedure time, postoperative recovery, postoperative length of hospital stay, and complications rates were recorded. The procedure and clinical success rates were 92% (23/25) and 96% (24/25), respectively. The mean procedure time was 36.6±10 minutes (standard deviation [SD]). The average postoperative hospitalization was 2±0.8 days. No adverse events such as bleeding, perforation, or bile leakage occurred. Cholecystitis did not recur during the 2 to 18 months of follow-up. ERCP+SOC may be a feasible, safe, and effective alternative treatment for acute cholecystitis secondary to choledocholithiasis. ERCP+SOC was able to simultaneously resolve both biliary tract and gallbladder problems via natural orifice endoscopy. Its advantages included no skin wound, reduced postoperative pain, quick recovery, limited to no exposure to x-rays, and a short hospital stay.
Publication History
Received: 28 August 2023
Accepted after revision: 27 October 2023
Accepted Manuscript online:
30 October 2023
Article published online:
12 December 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Fu Y, Pang L, Dai W. et al. Advances in the study of acute acalculous cholecystitis: a comprehensive review. Dig Dis 2022; 40: 468-478 DOI: 10.1159/000520025. (PMID: 34657038)
- 2 Loozen CS, Oor JE, van Ramshorst B. et al. Conservative treatment of acute cholecystitis: a systematic review and pooled analysis. Surg Endosc 2017; 31: 504-515 DOI: 10.1007/s00464-016-5011-x. (PMID: 27317033)
- 3 Pisano M, Allievi N, Gurusamy K. et al. 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg 2020; 15: 61 DOI: 10.1186/s13017-020-00336-x. (PMID: 33153472)
- 4 Nassar A, Elshahat I, Forsyth K. et al. Outcome of early cholecystectomy compared to percutaneous drainage of gallbladder and delayed cholecystectomy for patients with acute cholecystitis: systematic review and meta-analysis. HPB (Oxford) 2022; 24: 1622-1633
- 5 Navaneethan U, Hasan MK, Kommaraju K. et al. Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc 2016; 84: 649-655
- 6 Lyu Y, Cheng Y, Li T. et al. Laparoscopic common bile duct exploration plus cholecystectomy versus endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for cholecystocholedocholithiasis: a meta-analysis. Surg Endosc 2019; 33: 3275-3286 DOI: 10.1007/s00464-018-06613-w. (PMID: 30511313)
- 7 Verma N, Hema HK, Gupta P. et al. Role of percutaneous transhepatic biliary drainage as an adjunct to endoscopic retrograde cholangiopancreatography. J Clin Exp Hepatol 2022; 12: 287-292 DOI: 10.1016/j.jceh.2021.09.002. (PMID: 35535076)
- 8 Turan AS, Jenniskens S, Martens JM. et al. Complications of percutaneous transhepatic cholangiography and biliary drainage, a multicenter observational study. Abdom Radiol (NY) 2022; 47: 3338-3344 DOI: 10.1007/s00261-021-03207-4. (PMID: 34357434)
- 9 Storm AC, Vargas EJ, Chin JY. et al. Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis. Gastrointest Endosc 2021; 94: 742-748.e1
- 10 Kong LJ, Liu D, Zhang JY. Digital single-operator cholangioscope for endoscopic retrograde appendicitis therapy. Endoscopy 2022; 54: 396-400 DOI: 10.1055/a-1490-0434. (PMID: 33893629)