Evaluation of a newly designed basket in non-radiation endoscopic lithotomy for common bile duct stones (with video)
10.3760/cma.j.cn321463-20220410-00778
- VernacularTitle:一种新型网篮在无射线内镜胆总管结石取石术中的应用研究（含视频）
- Author:
Yadong FENG
1
;
Yuanyuan LI
;
Yan LIANG
;
Yang LIU
;
Zhag YOUYU
;
Jiong ZHANG
;
Yinqiu ZHANG
;
Ruihua SHI
Author Information
1. 东南大学附属中大医院消化科，南京 210009
- Keywords:
Choledocholithiasis;
Newly designed basket;
Digital cholangioscope;
Non-radiation lithotomy
- From:
Chinese Journal of Digestive Endoscopy
2023;40(3):201-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate a newly designed basket fit for digital cholangioscope in non-radiation endoscopic lithotomy for common bile duct stones.Methods:Seventy-eight patients who underwent non-radiation endoscopic removal of common bile duct stones at Zhongda Hospital Southeast University between February and October 2021 were enrolled in the randomized controlled trial, and were randomly assigned into the new basket group ( n=35) and the conventional basket group ( n=43) by drawing lots. Procedures of cholangioscope-based biliary exploration and stone removal by baskets, volume of water irrigation, time lengths of biliary exploration, stone removal and whole endoscopic procedure, and adverse events were compared. Results:Compared with the conventional basket group, the new basket group needed less biliary explorations (1.08±0.28 VS 2.30±0.51, t=-12.535, P<0.001), smaller volume of water irrigation (46.14±11.89 mL VS 78.62±10.09 mL, t=-13.052, P<0.001), and shorter time of biliary exploration and stone removal (9.69±2.97 min VS 12.67±2.51 min, t=-4.815, P<0.001) and whole endoscopic procedure (30.17±7.19 min VS 33.44±6.69 min, t=-2.076, P=0.041). The incidence of adverse events was not significantly different between the two groups [5.7% (2/35) VS 11.6% (5/43), χ2=0.826, P=0.363]. Conclusion:This newly designed basket can facilitate digital cholangioscope-guided non-radiation endoscopic removal of common bile duct stones with the advantages of shorter operation time, less exploration time of choledochoscopy and smaller volume of water irrigation.
