Application of Transparent Cap-assisted Choledochoscopy in Endoscopic Gallbladder-preserving Surgery.

Abstract

BACKGROUND:

The gold standard treatment for cholecystolithiasis is laparoscopic cholecystectomy. However, the complications of cholecystectomy have led to adoption of gallbladder-preserving surgery. The study was to investigate significance of transparent cap-assisted choledochoscopy in gallbladder-preserving surgery.

MATERIALS AND METHODS:

This is a retrospective study of patients who underwent gallbladder-preserving surgery by laparoscopic choledochoscopy along with choledochoscopy with or without a transparent cap from January 2018 to September 2018 in our hospital. The differences in the duration of gallbladder exploration, surgical complications, adverse events, and the recurrence of stones within 6 months after surgery were compared between 2 groups.

RESULTS:

Fifty patients underwent laparoscopic choledochoscopy along with choledochoscopy without transparent cap (Group A), while 50 patients underwent laparoscopic along with transparent cap-assisted choledochoscopy (Group B). Gallbladder exploration time was 27.96±12.24 minutes in Group A, and 12.04±6.01 minutes in Group B. One case had stone recurrence within 6 months in Group B, while 8 cases had stone recurrence in group A.

CONCLUSIONS:

Comparing with laparoscope combined with choledochoscopy, transparent cap-assisted choledochoscopy has advantages in gallbladder-preserving surgery.

• Authors: Wei Jian, Yan-Zhou Song, Qing-Feng Xiang, Heng-Yu Tian, Zhuo-Zhao Xie, Jun-Bo Yang, Yi-Ming Zhang, Rui-Kun Zhang, Jia-Lin Liu
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 30 Issue 4 Pg. 317-321 (Aug 2020) ISSN: 1534-4908 [Electronic] United States
• PMID: 32287110 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Adult
• Cholecystolithiasis (surgery)
• Common Bile Duct (surgery)
• Female
• Humans
• Laparoscopy (adverse effects, instrumentation, methods)
• Male
• Middle Aged
• Operative Time
• Postoperative Complications (epidemiology)
• Retrospective Studies
• Treatment Outcome
• Young Adult