Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende Patientenratgeber
Erweiterte Suche
Anmelden
nach oben
Langenbeck's Archives of Surgery
Erschienen in:

26.11.2021 | Original Article

A propensity score matching study between conventional and soft fiber-optic choledochoscope guided percutaneous transhepatic cholangioscopic lithotripsy for treatment of cholelithiasis

verfasst von: Hao Jin, Min Cui

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 2/2022

Einloggen, um Zugang zu erhalten

Abstract

Background

Percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) provides an alternative method for cholelithiasis treatment. Since conventional rigid choledochoscope applied in PTCSL lacks high flexibility and high-resolution vision, we developed a new, soft fiber-optic choledochoscope (SFCS) to solve these problems.

Objective

We aim to verify the safety and efficacy of PTCSL guided by the newly developed choledochoscope, SCFS.

Methods

In this study, a total of 58 patients undergoing PTCSL from November, 2020 to December, 2020 in Zhuhai People’s Hospital were enrolled, including 32 patients undergoing conventional PTCSL and 26 patients undergoing SFCS-guided PTCSL. A method of propensity score matching was used in order to balance the pre-operative indexes of the two groups. As a result, a total of 21 pairs (1:1) were created. SFCS-guided PTCSL was performed on patients in the SFCS group for the treatment of cholelithiasis. The operation time, intraoperative blood loss, immediate clearance rate, final clearance rate, postoperative hospitalization time, postoperative complication rate, and recurrence rate were compared between the two groups. A 6-month follow-up was performed for the two groups.

Results

SFCS-guided PTCSL represents safe and effective treatment outcomes. The immediate clearance rate and final clearance rate in the SFCS group were significantly higher than that of the conventional group. Operation time, intraoperative blood loss, postoperative hospitalization days, and recurrence rate in the SFCS group were significantly lower than that of the conventional group.

Conclusions

SFCS applied in PTCSL appears to be a safe and effective method for the treatment of cholelithiasis.
This study has been registered in Chinese Clinical Trial Registry as required by legislation (Registration number: ChiCTR1800016864, Registration time: 2018/02/08).
Literatur
1.
Park JS, Jeong S, Lee DH, Bang BW, Lee JI, Lee JW et al (2013) Risk factors for long-term outcomes after initial treatment in hepatolithiasis. J Korean Med Sci 28:1627–1631CrossRef
2.
Suzuki Y, Mori T, Yokoyama M, Yang CC, Yeh YH, Chou DA et al (2014) Hepatolithiasis: analysis of Japanese nationwide surveys over a period of 40 years. J HepatobiliaryPancreat Sci 21:617–622
3.
Silsirivanit A, Sawanyawisuth K, Riggin GJ, Wongkham C (2014) Cancer biomarker discovery for cholangiocarcinoma: the high-throughput approaches. J Hepatobiliary Pancreat Sci 21:388CrossRef
4.
Kim HJ, Kim JS, Suh SJ, Lee BJ, Park JJ, Lee HS et al (2015) Cholangiocarcinoma risk as longterm outcome after hepatic resection in the hepatolithiasis patients. World J Surg 39:1537–1542CrossRef
5.
Zeng X, Tao H (2015) Diagnostic and prognostic serum marker of cholangiocarcinoma. Oncol Lett 9:3CrossRef
6.
Sato Y, Sasaki M, Harada K, Nakanuma Y (2014) Pathological diagnosis of flat epithelial lesions of the biliary tract with emphasis on biliary intraductalneoplasia. J Gastroenterol 49:64–72CrossRef
7.
Yang J, Huang Q, Lin XS (2014) The analysis on the methods and curative effect of iatrogenic bile duct injury reparation operation: a clinicol analysis of 102 cases. J Hepatobiliary Surg 79(3):585–590
8.
Miura F, Takada T, Strasberg SM, Solomkin JS, Pitt HA, Gouma DJ et al (2013) TG13 flowchart for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci 20:47–64CrossRef
9.
Wei LJ, Wei CT, Xing YX (2013) The clinical experience of endoscopic minimally invasive gallbladder-sparing cholelithotomy: with a report of 56 cases. Journal of Laparoseopic Surgery 24(8):666–669
10.
Osipenko MF, Litvinova NV, Voloshina NB, Frolov IaA (2013) Long-term dynamics of gastrointestinal symptoms after cholecystectomy for the treatment of cholelithiasis. KlinMed(Mosk) 91(5):49–52
11.
Ye X, Ni K, Zhou X, Xie K, Hong X (2015) Laparoscopic versus open left hemihepatectomy for hepatolithiasis. J Surg Res 199:402–406CrossRef
12.
Lee JH, Kim HW, Kang DH, Choi CW, Park SB, Kim SH et al (2013) Usefulness of percutaneous transhepaticcholangioscopic lithotomy for removal of difficult common bile duct stones. Clin Endosc 46:65–70CrossRef
13.
Koc B, Karahan S, Adas G, Cheng B, Jin X (2013) Comparison of laparoscopic common bile duct exploration an d endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study. Am J Surg 206:457–463CrossRef
14.
Narayanan SK, Chen Y, Narasimhan KL, Cohen RC (2013) Hepaticoduodenostomy versus hepaticojejunostomy after resection of choledochal cyst: a systematic review and meta-analysis. J PediatrSurg 48(11):2336–2342
15.
Jin H, Fan J, Li W, Cui M (2019) Percutaneous transhepatic cholangioscopic lithotripsy using soft fiber-optic choledochoscope. Z Gastroenterol 57(10):1196–1199CrossRef
16.
Tian J, Li JW, Chen J, Fan YD, Bie P, Wang SG (2013) Laparoscopic hepatectomy with bile duct exploration for the treatment of hepatolithiasis: an experience of 116 cases. Dig Liver Dis 45:493CrossRef
17.
Yasuda I, Itoi T (2013) Recent advances in endoscopic management of difficult bile duct stones. Dig Endosc 25:376–385CrossRef
18.
19.
Lee JH, Kim HW, Kang DH, Choi CW, Park SB, Kim SH, Jeon UB (2013) Usefulness of percutaneous transhepatic cholangioscopic lithotomy for removal of difficult common bile duct stones. Clin Endosc 46(1):65–70CrossRef
20.
Zhuo H, Chen Z, Lin R, Yang S, Zhuang H, He C, Liu X (2020) Percutaneous Transhepatic Choledochoscopic Lithotomy (PTCSL) is effective for the treatment of intrahepatic and extrahepatic choledocholithiasis. Surg Laparosc Endosc Percutan Tech 31(3):326–330PubMed
21.
Wang P, Tao H, Liu C, Zhou X, Sun B, Zhu C et al (2021) One-step percutaneous transhepatic cholangioscopic lithotripsy in patients with cholelithiasis. Clin Res Hepatol Gastroenterol 45(2):101477CrossRef
22.
Uchiyama K, Kawai M, Ueno M, Ozawa S, Tani M, Yamaue H (2007) Reducing residual and recurrent stones by hepatectomy for hepatolithiasis. J Gastrointest Surg 11(5):626–630CrossRef
Metadaten
Titel
A propensity score matching study between conventional and soft fiber-optic choledochoscope guided percutaneous transhepatic cholangioscopic lithotripsy for treatment of cholelithiasis
verfasst von
Hao Jin
Min Cui
Publikationsdatum
26.11.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Langenbeck's Archives of Surgery / Ausgabe 2/2022
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-021-02359-7

Weitere Artikel der Ausgabe 2/2022

State-of-the-art surgery for pancreatic cancer

  • Open Access
  • State-of-the-Art Clinical Surgery

A safety study of laparoscopic single-anastomosis duodeno-ileal bypass with gastric plication (SADI-GP) in the management of morbid obesity

  • Open Access
  • How-I-Do-It articles

Short-term outcomes of extracorporeal colo-colonic triangular anastomosis versus functional end-to-end anastomosis in laparoscopic-assisted surgery for left-sided colon cancer: a propensity score matching analysis

  • Original Article

The impact of surgical site infection—a cost analysis

  • Open Access
  • Original Article

The effect of end-ischaemic normothermic machine perfusion on donor hepatic artery endothelial integrity

  • Original Article

Level 2a evidence comparing robotic versus laparoscopic left lateral hepatic sectionectomy: a meta-analysis

  • Systematic Reviews and Meta-analyses

Neu im Fachgebiet Chirurgie

Verbände und Cremes gegen Dekubitus: „Wir wissen nicht, was sie bringen!“

Die Datenlage zur Wirksamkeit von Verbänden oder topischen Mitteln zur Prävention von Druckgeschwüren sei schlecht, so die Verfasser einer aktuellen Cochrane-Studie. Letztlich bleibe es unsicher, ob solche Maßnahmen den Betroffenen nutzen oder schaden.

Nackenschmerzen nach Bandscheibenvorfall: Muskeltraining hilft!

Bei hartnäckigen Schmerzen aufgrund einer zervikalen Radikulopathie schlägt ein Team der Universität Istanbul vor, lokale Steroidinjektionen mit einem speziellen Trainingsprogramm zur Stabilisierung der Nackenmuskulatur zu kombinieren.

US-Team empfiehlt Gastropexie nach Hiatushernien-Op.

Zur Vermeidung von Rezidiven nach Reparatur einer paraösophagealen Hiatushernie sollte einem US-Team zufolge der Magen bei der Op. routinemäßig an der Bauchwand fixiert werden. Das Ergebnis einer randomisierten Studie scheint dafür zu sprechen.

Mit Lidocain kommt der Darm nicht schneller in Schwung

Verzögertes Wiederanspringen der Darmfunktion ist ein Hauptfaktor dafür, wenn Patientinnen und Patienten nach einer Kolonresektion länger als geplant im Krankenhaus bleiben müssen. Ob man diesem Problem mit Lidocain vorbeugen kann, war Thema einer Studie.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise