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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990486 | PMC |
| http://dx.doi.org/10.1016/j.vgie.2016.12.005 | DOI Listing |
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How I Do It: Simplified Transcystic Antegrade-only Robotic Common Bile Duct Exploration (RCBDE).
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November 2024
Veterans Affairs Medical Center, White River Junction, VT.
Article Synopsis
- A surgery-first approach using robotic common bile duct exploration (RBCDE) offers an effective alternative for treating CBD stones in patients with gallbladders, showing equal efficacy at a lower cost compared to traditional methods.
- The RBCDE technique simplifies the process by using a cystic ductotomy and a cholangiogram to identify stones, allowing for targeted removal with different techniques based on stone size.
- This method aims to enhance the adoption of a straightforward, one-stage surgery for CBD stone treatment, overcoming technical limitations associated with traditional laparoscopic procedures.
Endoscopic ultrasound-guided biliary interventions.
Indian J Gastroenterol
October 2024
Institute of Digestive and Liver Care, SL Raheja Hospital, Mumbai, 400 016, India.
Endoscopic ultrasound (EUS)-guided biliary drainage (EUS-BD) includes EUS-guided hepaticogastrostomy (EUS-HGS), EUS-guided choledochoduodenostomy (EUS-CDS), EUS-guided gallbladder drainage (EUS-GBD), EUS-guided antegrade stenting (EUS-AG) and EUS-guided rendezvous (EUS-RV). While EUS-HGS, EUS-CDS and EUS-GBD are transluminal drainage procedures, EUS-AG is a traspapillary drainage procedure and EUS-RV is a procedure intended to facilitate endoscopic retrograde cholangio pancreatography (ERCP) in instances of failed cannulation. These procedures were initially developed as options for endoscopic salvage of failed ERCP, but have evolved to become first-line interventions also for select indications over time as the technique and expertise improved.
View Article and Find Full Text PDFAntegrade balloon dilatation of the duodenal papilla during laparoscopic cholecystectomy versus endoscopic retrograde cholangiography in patients with acute choledocholithiasis: a case control matched study.
Surg Endosc
July 2024
Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Introduction: In acute obstructive common bile duct (CBD) stones endoscopic retrograde cholangiography for CBD stone removal before cholecystectomy (ChE) ('ERC-first') is the gold standard of treatment. Intraoperative antegrade balloon dilatation of the duodenal papilla during ChE with flushing of CBD stones to the duodenum ('ABD-during-ChE') may be an alternative 'one-stop-shop' treatment option. However, a comparison of outcomes of the 'ABD-during-ChE' technique and the'ERC-first' approach has never been performed.
View Article and Find Full Text PDFEndoscopic Ultrasound-Guided Biliary Drainage (EUS-BD).
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Hackensack University Medical Center, Hackensack, NJ, USA. Electronic address:
Endoscopic ultrasound (EUS)-guided biliary drainage (BD) is a minimally invasive procedure that allows for biliary access when conventional endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful. The technique can be divided based on biliary access route: intrahepatic or extrahepatic, as well as on stenting approach: rendezvous approach (EUS-RV), antegrade placement, or transluminal (intra or extra hepatic) placement. There is no clear consensus on which approach is superior.
View Article and Find Full Text PDFAntegrade Electrohydraulic Lithotripsy for Common Bile Duct Stone Using Novel Cholangioscope with Large Working Channel.
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2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
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