Resection of a tubular adenoma in the distal common bile duct through percutaneous choledochoscopy E-Videos Video 1 The pedicled lesion was reached using percutaneous choledochoscopy through the sinus tract formed by the T-tube. A hot snare was used to resect the lesion under direct visualization. At the end, a clean and flat wound bed was left after the resection.▶ Fig. 1 Accidentally detected neoplasm in the common bile duct of a 59-year-old man.▶ Fig. 2 Magnetic resonance cholangiopancreatography showed a filling defect in the common bile duct without invasion of surrounding organs.