In this video, one case of laparoscopic trans-cystic exploration and one case of laparoscopic choledochotomy are reported, both with CBD stone extraction under choledochoscopic vision

ASVIDE ◽  
2019 ◽  
Vol 6 ◽  
pp. 182-182
Author(s):  
Alessandro M. Paganini ◽  
Livia Palmieri ◽  
Andrea Balla
Keyword(s):  
Stone Extraction ◽  
Laparoscopic Choledochotomy ◽  
Cbd Stone

scholarly journals Factors Significantly Contributing to a Failed Conventional Endoscopic Stone Clearance in Patients with “Difficult” Choledecholithiasis: A Single-Center Experience

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Emmanuel Christoforidis ◽  
Konstantinos Vasiliadis ◽  
Konstantinos Tsalis ◽  
Dimitrios Patridas ◽  
Konstantinos Blouhos ◽  
...  
Keyword(s):  
Bile Duct ◽  
Endoscopic Sphincterotomy ◽  
Statistical Tests ◽  
Bile Duct Stones ◽  
Stone Extraction ◽  
Contributing Factors ◽  
Stone Clearance ◽  
Cbd Stones ◽  
Single Center Experience ◽  
Cbd Stone

The objective of this study is to retrospectively evaluate factors significantly contributing to a failed stone extraction (SE) in patients with difficult to extract bile duct stones (BDS). Patients and Methods. During a 10-year period 1390 patients with BDS underwent successfully endoscopic sphincterotomy. Endoscopic SE was graded as easy; relatively easy; difficult; and failed. Difficult SE was encountered in 221 patients while failed SE was encountered in 205. A retrospective analysis of the criteria governing the difficulty of endoscopic SE following the index endoscopic intervention was performed to evaluate their significance in determining failure of complete SE among patients with difficult to extract bile duct stones. Results. Age ≥ 85 years, periampullary diverticula, multiple CBD stones (>4), and diameter of CBD stones (≥15 mm) were all significant contributing factors to a failed SE in univariate statistical tests. In the definitive multivariate analysis age, multiple stones and diameter of stones were found to be the significant, independent contributors. Conclusion. Failed conventional endoscopic stone clearance in patients with difficult to extract BDS is more likely to occur in overage patients, in patients with multiple CBD stones >4, and in patients with CBD stone(s) diameter ≥15 mm.

scholarly journals S3491 Preventing Bouveret’s Syndrome: Largest Reported CBD Stone Removed Endoscopically After ERCP With Conventional Stone Extraction

2020 ◽  
Vol 115 (1) ◽  
pp. S1809-S1810
Author(s):  
Praneeth Bandaru ◽  
Andrew Ofosu ◽  
Ali Aamar ◽  
Mohamed Barakat ◽  
Daryl Ramai ◽  
...  
Keyword(s):  
Stone Extraction ◽  
Bouveret’S Syndrome ◽  
Cbd Stone ◽  
Bouveret's Syndrome

scholarly journals Post-ERCP Dormia basket impaction: a case report and literature review

2021 ◽  
Vol 8 (12) ◽  
pp. 3692
Author(s):  
Alaaeldin Mohamed Sedik ◽  
Abrar Hussein ◽  
Abdelmajid Alshimary ◽  
Mostafa Elsayed ◽  
Ahmed Alzayed ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Stone Extraction ◽  
Endoscopic Retrograde ◽  
Dormia Basket ◽  
Life Threatening ◽  
Cbd Stone

The incidence of Common bile duct stones (CBD) in patients undergoing cholecystectomy is 10%. The present-day management of common bile duct stone may be pre-, intra-, or post-operative Endoscopic retrograde cholangio-pancreatography (ERCP) with stone extraction. The reported complications of ERCP and CBD stone extraction range from 5 to 10% cases, that might be life threatening. Herein, we reported a case of calculus obstructive jaundice and cholangitis. Unfortunately, trials for ERCP and stone retrieval was followed by impacted Dormia basket which was successfully managed by surgerys.

scholarly journals Clinical Evaluation of a Newly Developed Guidewire for Pancreatobiliary Endoscopy

2020 ◽  
Vol 9 (12) ◽  
pp. 4059
Author(s):  
Shigeto Ishii ◽  
Toshio Fujisawa ◽  
Hiroyuki Isayama ◽  
Shingo Asahara ◽  
Shingo Ogiwara ◽  
...  
Keyword(s):  
Critical Factor ◽  
Endoscopic Drainage ◽  
Stone Extraction ◽  
Biliary Cannulation ◽  
Cbd Stones ◽  
Significant Difference ◽  
Effectiveness And Efficiency ◽  
Cbd Stone ◽  
High Level ◽  
Rate Of Success

Background: The guidewire (GW) plays an important role in pancreatobiliary endoscopy. GW quality is a critical factor in the effectiveness and efficiency of pancreatobiliary endoscopy. In this study, we evaluate a new 0.025 inch multipurpose endoscopic GW: the M-Through. Methods: Our study was a multicenter retrospective analysis. We enrolled patients who underwent endoscopic procedures using the M-Through between May 2018 and April 2020. Patients receiving the following endoscopic treatments were enrolled: common bile duct (CBD) stone extraction, endoscopic drainage for distal and hilar malignant biliary obstruction (MBO), and endoscopic drainage for acute cholecystitis. For each procedure, we examined the rate of success without GW exchange. Results: A total of 170 patients (80 with CBD stones, 60 with MBO, and 30 with cholecystitis) were enrolled. The rate of completion without GW exchange was 100% for CBD stone extraction, 83.3% for endoscopic drainage for MBO, and 43.3% for endoscopic drainage for cholecystitis. In unsuccessful cholecystitis cases with the original GW manipulator, 1 of 8 cases succeeded in the manipulator exchange. Including 6 cases who changed GW after the manipulator exchange, 11 of 16 cases succeeded in changing GW. There was significant difference in the success rate between the manipulator exchange and GW exchange (p = 0.03). The insertion of devices and stent placement after biliary cannulation (regardless of type) were almost completed with M-through. We observed no intraoperative GW-related adverse events such as perforation and bleeding due to manipulation. Conclusion: The 0.025 inch M-Through can be used for endoscopic retrograde cholangiopancreatography-related procedures efficiently and safely. Our study found high rates of success without GW exchange in all procedures except for endoscopic drainage for cholecystitis. This GW is considered (1) excellent for supportability of device insertion to remove CBD stones; (2) good for seeking the biliary malignant stricture but sometimes need the help of a hydrophilic GW; (3) suboptimal for gallbladder drainage that require a high level of seeking ability.

scholarly journals Alternative laparoscopic techniques for stone extraction during laparoscopic CBD exploration: pros and cons

2019 ◽  
Vol 6 (7) ◽  
pp. 2395
Author(s):  
Hosam Farouk Abdelhameed ◽  
Samir A. Abdelmageed ◽  
Alaa A. Radwan
Keyword(s):  
Success Rate ◽  
Common Bile Duct Exploration ◽  
Direct Access ◽  
Stone Extraction ◽  
Pros And Cons ◽  
Cbd Stone ◽  
Average Size ◽  
Laparoscopic Techniques ◽  
Laparoscopic Cbd Exploration ◽  
Access Technique

Background: A prospective work to study various laparoscopic techniques used for stone extraction during laparoscopic common bile duct exploration (LCBDE) with assessment of CBD clearance by each technique with discussion of its feasibility and difficulties.Methods: Patients with chronic calcular cholecystitis with CBD stone(s) were treated randomly by laparoscopic cholecystectomy plus choledocholithotomy. Various methods were used for stone extraction either through the scope technique, direct access technique, or irrigation/suction technique. Assurance of CBD clearance of stones was done later using intra-operative choledochoscopy, cholangiogram, or post operatively using sonography or MRCP.Results: Out of sixty seven patients, laparoscopic CBD stone extraction was done through scope control in 25 patients, direct access technique in 22 patients, while irrigation/suction technique was done in 20 cases. Choledochoscope method was the most effective method for CBD clearance with success rate (96%), it was effective in distal CBD stones of average size (0.5-1.0 cm), and number (1-5), but unfortunately missed stone is a relative risk (4%). Direct access technique is as effective blindly especially if associated with irrigation/suction with success rate (81.8%) specially in non-impacted single distal stone of average size (0.5-1.0 cm) well recognized by MRCP a night before operation. Irrigation / suction technique was the least effective with success rate (50%) only with the need to convert to other technique in 50% of cases.Conclusions: Choledocoscope guided stone extraction technique was the technique of choice for CBD clearance during LCBDE. 

Percutaneous transcystic removal of gallbladder and common bile duct stones: a narrative review

2021 ◽  
pp. 028418512110069
Author(s):  
Andrew MacCormick ◽  
Paul Jenkins ◽  
Nelofer Gafoor ◽  
David Chan
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Common Bile Duct Stones ◽  
Evidence Base ◽  
Bridge To Surgery ◽  
Gallbladder Stone ◽  
Management Option ◽  
Stone Extraction ◽  
Balloon Expulsion ◽  
Cbd Stone

The incidence of gallstone-related complications is rising, thus leading to increases in waiting list times for elective laparoscopic cholecystectomy (LC). Percutaneous cholecystostomy (PC) provides immediate biliary drainage and may be used as an emergency option in a critically unwell patient as a bridge to surgery, or as the management option of a patient who is not fit for surgery. However, a significant number of these patients may be readmitted after PC with recurrent acute cholecystitis or pancreatitis, leading to significant morbidity and mortality. The aim of the present review was to analyze the available literature surrounding the use of the transcystic approach, including the extraction and balloon expulsion method, in the management of patients with gallbladder stones and/or common bile duct (CBD) stones. The full text of 18 articles were reviewed, of which four were included in this review. Results showed an overall success rate of CBD stone extraction in 118 of 139 patients (84.9%), gallbladder stone extraction in 97 of 114 (85.0%), and CBD stone expulsion in 27 of 29 (93.1%). Percutaneous CBD and gallbladder stone extraction may be a safe management option for elderly or co-morbid patients who are not appropriate for surgical intervention. However, the evidence base surrounding this is very limited; therefore, further research is required in order to evaluate this in more detail.

scholarly journals Surgical management of the impacted dormia basket during ERCP

2019 ◽  
Vol 6 (5) ◽  
pp. 1783 ◽  
Author(s):  
Cherring Tandup ◽  
Lileswar Kaman ◽  
Saroj Kant Sinha
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Obstructive Jaundice ◽  
Bile Duct Stone ◽  
Common Bile Duct Stones ◽  
Bile Duct Stones ◽  
Stone Extraction ◽  
Endoscopic Retrograde ◽  
Dormia Basket ◽  
Cbd Stone

The incidence of associated common bile duct stones in patients undergoing cholecystectomy is 10%. The present day management of common bile duct stone is pre- or post-operative endoscopic retrograde cholangio-pancreatography and clearance of common bile duct. Complications of ERCP and CBD stone extraction have been reported to occur in 5 to 10% cases which may range from mild to life threatenin Here we report a case of cholelithiasis with choledocholithiasis with obstructive jaundice and patient while undergoing ERCP and stone retrieval had complication of impacted dormia basket which was managed by surgery. 

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