Laparoscopic SpyGlass cholangioscopy evaluation during bilioenteric anastomosis for hepatolithiasis, a case report

Figueira, Estela Regina Ramos; Franzini, Tomazo; Costa, Thiago Nogueira; Madruga-Neto, Antonio Coutinho; Guedes, Hugo Gonçalo; Romano, Vitor Carminatti; Cecconello, Ivan; Moura, Eduardo Guimarães Hourneaux de

doi:10.1016/j.ijscr.2020.12.013

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…In terms of diagnostic indications, choledochoscopy has also been used in diseases with a higher probability of malignant transformation, such as in the detection of dysplasia[ 95 ] and intraoperative determination of resection planes[ 96 ] in choledochal cysts, or diagnosis of malignant lesions such as intraductal papillary neoplasms of the bile duct[ 97 ]. In addition, recent reports demonstrate a role in the diagnosis of benign biliary pathologies such as cholangioadenoma[ 98 ], biliary papillomatosis[ 99 ], eosinophilic cholangitis[ 100 ], choledochal varices[ 101 ], right hepatic artery syndrome[ 102 ], congenital pancreaticobiliary maljunction[ 103 ], post-transplant ductal ischemia[ 104 ], infections such as cytomegalovirus and human immunodeficiency virus-associated cholangiopathy[ 105 , 106 ] and intraoperative evaluation for intrahepatic biliary duct injury during surgery[ 107 ].…”

Section: Clinical Applicationsmentioning

confidence: 99%

Choledochoscopy: An update

Lee¹,

Teng²,

Shelat³

2021

WJGE

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Choledochoscopy, or cholangioscopy, is an endoscopic procedure for direct visualization within the biliary tract for diagnostic or therapeutic purposes. Since its conception in 1879, many variations and improvements are made to ensure relevance in diagnosing and managing a range of intrahepatic and extrahepatic biliary pathologies. This ranges from improved visual impression and optical guided biopsies of indeterminate biliary strictures and clinically indistinguishable pathologies to therapeutic uses in stone fragmentation and other ablative therapies. Furthermore, with the evolving understanding of biliary disorders, there are significant innovative ideas and techniques to fill this void, such as nuanced instances of biliary stenting and retrieving migrated ductal stents. With this in mind, we present a review of the current advancements in choledo-choscopy with new supporting evidence that further delineates the role of choledochoscopy in various diagnostic and therapeutic interventions, complications, limitations and put forth areas for further study.

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Section: Clinical Applicationsmentioning

confidence: 99%

Choledochoscopy: An update

Lee¹,

Teng²,

Shelat³

2021

WJGE

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“…Electrohydraulic lithotripsy (EHL) or laser lithotripsy (LL) under SpyGlass can crush large and pressure-resistant stones into smaller fragments, significantly improving the endoscopic treatment of large stones, and appears to be a good alternative and a very successful therapeutic approach. These combinatorial treatment strategies yield great success rates and guarantee safety ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Electrohydraulic lithotripsy through endoscopic retrograde cholangiopancreatography combined with SpyGlass in the treatment of complex pancreatic duct stones: A case report and literature review

Wang

et al. 2023

Front. Surg.

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The incidence of pancreatic duct stones (PDS) is less than 1%. After the formation of stones, the lumen of the pancreatic duct is blocked, and the pancreatic juice cannot be discharged smoothly, resulting in the impairment of the internal and external secretions of the pancreas. Several national guidelines now recommend endoscopic retrograde cholangiopancreatography (ERCP) as the treatment for PDS. The emergence of SpyGlass makes it possible to visualize the ERCP blind area of the pancreatic system directly. Electrohydraulic lithotripsy (EHL) under SpyGlass can crush large and pressure-resistant stones into smaller fragments, significantly improving the success of the endoscopic treatment of large stones. Here, we report a patient presented with acute alcohol-associated pancreatitis, found to have PDS on imaging, who underwent ERCP combined with SpyGlass (EHL), avoiding surgery, reducing trauma, and being discharged from the hospital with a rapid recovery. Therefore, endoscopic therapy is effective and safe for PDS patients. The combination therapy of this patient is the first use of SpyGlass for PDS in our centre, which marks a new stage in the application of endoscopic therapy for pancreatic diseases.

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“…In the Latin American experience, the 30-day mortality is around 0.7%, and the morbidity is 30% after surgery [4]. Thus, minimally invasive therapeutics for treating IHL are on the rise, such as biliary tract exploration via the left hepatic duct, percutaneous transhepatic drainage, per-oral cholangioscopy, and cholangioscopy associated with laparoscopic and robotic procedures [5][6][7][8]. We describe a case of laser lithotripsy via biliaryenteric anastomosis utilizing cholangioscopy in a combined surgical and endoscopic procedure.…”

Section: Introductionmentioning

confidence: 99%

Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

Lera dos Santos,

Sasso,

Figueira

et al. 2023

Cureus

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Intrahepatic lithiasis, or hepatolithiasis, is an endemic disease in southeast Asia, although, with immigration from Eastern countries, the incidence of this pathology is rising worldwide. The Latin American experience demonstrates morbidity and mortality compatible with other Western countries, but minimally invasive procedures are lacking. We demonstrate a case of a combined surgical and endoscopic approach for stone clearance. We present a case of a 47-year-old female patient with biliary enteric anastomosis to treat recurrent pyogenic cholangitis resulting from intrahepatic lithiasis. The patient was admitted to the emergency room, presented with a new episode of cholangitis, and submitted to transcutaneous hepatobiliary drainage. The multidisciplinary approach, including the endoscopic and surgical teams, successfully performed the stone clearance with laser lithotripsy and stone removal by open access. The postoperative period was uneventful, and the patient did not present any sign of recurrence after one year. A combined surgical and endoscopic approach achieved short-term clinical and technical success in this novel case. Moreover, individualizing cases requiring open surgical access is feasible, which allows a combined endoscopic approach with safety.

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Laparoscopic SpyGlass cholangioscopy evaluation during bilioenteric anastomosis for hepatolithiasis, a case report

Cited by 3 publications

References 19 publications

Choledochoscopy: An update

Choledochoscopy: An update

Electrohydraulic lithotripsy through endoscopic retrograde cholangiopancreatography combined with SpyGlass in the treatment of complex pancreatic duct stones: A case report and literature review

Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

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