Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage

Lou, Songmei; Zhang, Min; Wu, Zhengrong; Jiang, Guixing; Shen, Hao; Dai, Yi; Liang, Yuelong; Cao, Liping; Ding, Guoping

doi:10.1631/jzus.b1900060

Cited by 5 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As for laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy, choledochoscope is applied based on laparoscopic cholecystolithotomy, which helps improve the operative visual field and complete the stone extraction under direct vision. It not only reduces the difficulty of stone extraction, shortens the operation time, and facilitates postoperative recovery, but also avoids unnecessary injury of the gallbladder due to operation errors, causes less microstructure damage of the gallbladder, and contributes to postoperative recovery of gallbladder function [13][14][15]. The results of this study showed that the operation time was shortened and the intraoperative blood loss was reduced in the laparoscopic + choledochoscopic group.…”

Section: Discussionmentioning

confidence: 68%

Effects of laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy on levels of operation indicators, gallbladder function, and cholecystokinin type-A receptor in patients with gallstones.

Zhang,

Feng,

Cai

et al. 2023

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

Introduction: Gallstones are a common digestive system disease. Aim: To assess the effects of laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy on the levels of operation indicators, gallbladder function, and cholecystokinin type-A receptor (CCKAR) in patients with gallstones. Material and methods:The medical records of 100 patients with gallstones receiving operation from July 2019 to August 2022 were collected for retrospective analysis. They were divided into a laparoscopic group (n = 48) and a laparoscopic + choledochoscopic group (n = 52). The laparoscopic group received totally laparoscopic cholecystolithotomy, while the laparoscopic + choledochoscopic group underwent laparoscopic and choledochoscopic cholecystolithotomy. Their perioperative indicators, gallbladder function, stress indicators (cortisol (Cor), norepinephrine (NE), and C-reactive protein (CRP)), serum biochemical indicators (liver receptor homologue 1 (LRH-1), CCKAR, and vasoactive intestinal peptide (VIP)), and complications were compared.Results: The fasting gallbladder volume and gallbladder contraction rate increased, and the minimum residual volume and gallbladder wall thickness decreased in the laparoscopic + choledochoscopic group in comparison with those of the laparoscopic group 6 months after operation (p < 0.05). The levels of serum Cor, NE, CRP, and CCKAR were elevated, whereas the levels of serum LRH-1 and VIP were lowered in both groups 3 d after operation compared with those before operation (p < 0.05). The levels of serum Cor, NE, CRP, LRH-1, and VIP were lower, and the level of serum CCKAR was higher in the laparoscopic + choledochoscopic group than those in the laparoscopic group 3 d after operation (p < 0.05). Conclusions: Both laparoscopic gallbladder-preserving cholecystolithotomy and laparoscopic and choledochoscopic cholecystolithotomy are effective for treating gallstones. However, the latter combination method is superior in enhancing postoperative gallbladder function, decreasing the recurrence risk, regulating the expressions of LRH-1, CCKAR, and VIP, and promoting the postoperative recovery of gastrointestinal function.

show abstract

Section: Discussionmentioning

confidence: 68%

Effects of laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy on levels of operation indicators, gallbladder function, and cholecystokinin type-A receptor in patients with gallstones.

Zhang,

Feng,

Cai

et al. 2023

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

“…In recent years, multiple operative approaches have been undertaken to address both prob-lems. These have included the combination of laparoscopic cholecystectomy (LC) with laparoscopic common bile duct exploration (LCBDE), endoscopic retrograde cholangiopancreatography (ERCP), and LC plus transcystic exploration [2][3][4] . There have been advantages and disadvantages to all these strategies.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic and Seldinger techniques for the treatment of concomitant gallstones and choledocholithiasis. A retrospective study.

Song¹,

Feng²,

Liu³

et al. 2023

Investigación Clínica

View full text Add to dashboard Cite

Abstract. This study aimed to determine the efficacy and safety of a mini-mally invasive combined approach for concomitant stone clearance of choleli-thiasis and choledocholithiasis. FromNovember 2018 to March 2021, 30 pa-tients were enrolled in this retrospective study that compared two methods of treating combined cholelithiasis and choledocholithiasis. The study comprised two groups: 15 patients in Group A underwent combined laparoscopic and Seldinger techniques for complete stone clearance, retaining the gall bladder in situ. In Group B, 15 patients underwent laparoscopic cholecystectomy and choledocholithotomy with T-tube drainage. The rates of successful completion of the operations, procedure-related complications, length of hospitalization, hospital cost, and patient satisfaction were compared between the two groups. The two groups had no differences in general patient characteristics, and all procedures were successfully completed. Compared to Group B, patients in Group A had a shorter operative time (84 vs. 105 min), less blood loss (10 vs. 28 mL), were less expensive, and had a shorter postoperative recovery. A single patient in group B developed bile leakage. The satisfaction rate was 93% in Group A, in contrast to 80% in Group B. The combined use of laparoscopic and Seldinger techniques to achieve complete stone removal in patients with con-comitant cholelithiasis and choledocholithiasis was demonstrated to be safe and successful.

show abstract

“…Endoscopic diagnosis and treatment (including placement of jejunal nutrition tubes and emergency endoscopic treatment of gastrointestinal bleeding) serve as an indispensable part in the management of severe COVID-19 cases. This contributes to a better prognosis and treatment (Gu et al, 2019;Lou et al, 2019). Endoscopes, as reusable precision instruments with complicated structures, require more techniques than other medical devices in cleaning, disinfection, sterilization, and other reprocessing procedures.…”

Section: Introductionmentioning

confidence: 99%

Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients

Wang

Fang

et al. 2020

J. Zhejiang Univ. Sci. B

View full text Add to dashboard Cite

Severe cases infected with the coronavirus disease 2019 , named by the World Health Organization (WHO) on Feb. 11, 2020, tend to present a hypercatabolic state because of severe systemic consumption, and are susceptible to stress ulcers and even life-threatening gastrointestinal bleeding. Endoscopic diagnosis and treatment constitute an irreplaceable part in the handling of severe COVID-19 cases. Endoscopes, as reusable precision instruments with complicated structures, require more techniques than other medical devices in cleaning, disinfection, sterilization, and other reprocessing procedures. From 2016 to 2019, health care-acquired infection caused by improper endoscope reprocessing has always been among the top 5 on the list of top 10 health technology hazards issued by the Emergency Care Research Institute. Considering the highly infective nature of COVID-19 and the potential aerosol contamination therefrom, it is of pivotal significance to ensure that endoscopes are strictly reprocessed between uses. In accordance with the national standard "Regulation for Cleaning and Disinfection Technique of Flexible Endoscope (WS507-2016)," we improved the workflow of endoscope reprocessing including the selection of chemicals in an effort to ensure quality control throughout the clinical management towards COVID-19 patients. Based on the experience we attained from the 12 severe COVID-19 cases in our hospital who underwent endoscopy 23 times in total, the article provides an improved version of endoscopic reprocessing guidelines for bedside endoscopic diagnosis and treatment on COVID-19 patients for reference.

show abstract

Combined gastroscopic and choledochoscopic transabdominal nasobiliary drainage

Cited by 5 publications

References 14 publications

Effects of laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy on levels of operation indicators, gallbladder function, and cholecystokinin type-A receptor in patients with gallstones.

Effects of laparoscopic and choledochoscopic gallbladder-preserving cholecystolithotomy on levels of operation indicators, gallbladder function, and cholecystokinin type-A receptor in patients with gallstones.

Laparoscopic and Seldinger techniques for the treatment of concomitant gallstones and choledocholithiasis. A retrospective study.

Analysis of an improved workflow of endoscope reprocessing for bedside endoscopic diagnosis and treatment on COVID-19 patients

Contact Info

Product

Resources

About