Application of negative pressure suction to endoscopic transpapillary gallbladder-preserving cholecystolithotomy
10.3760/cma.j.cn321463-20231206-00364
- VernacularTitle:负压吸引法在内镜下经十二指肠乳头保胆取石术中的应用研究
- Author:
Wenhai WANG
1
;
Peng LI
;
Yongjun WANG
;
Ming JI
Author Information
1. 首都医科大学附属北京友谊医院消化内科 国家消化系统疾病临床医学研究中心 北京市消化疾病中心 首都医科大学消化病学系 消化疾病癌前病变北京市重点实验室，北京100050
- Keywords:
Cholangiopancreatography, endoscopic retrograde;
Negative pressure suction;
Endoscopic transpapillary gallbladder-preserving cholecystolithotomy;
Gallbla
- From:
Chinese Journal of Digestive Endoscopy
2024;41(7):566-569
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) combined with single peroral choledochoscopy (SpyGlass) system for transpapillary gallbladder-preserving cholecystolithotomy, and to assess the feasibility of negative pressure suction for complete removal of gallbladder stones and prevention of recurrence, data of 4 patients with gallbladder stones, who received transpapillary gallbladder-preserving cholecystolithotomy through ERCP combined with SpyGlass with method of negative pressure suction at Endoscopy Center of Beijing Friendship Hospital from August 2022 to August 2023 were retrospectively reviewed. The procedure success rate, stone removal rate, the time of cystic duct cannulation, the time of stone removal and incidence of postoperative complication were recorded. The technique success rate of ERCP combined with SpyGlass was 100%, and the stone removal rate was also 100%. The time of cystic duct cannulation was 6-30 min, 2 patients were cannulated via X ray, and the time of cystic duct cannulation was 20 min and 30 min respectively; the other 2 patients were cannulated via SpyGlass, and the time of cystic duct cannulation was 6 min and 8 min respectively. The time of stone removal was 8-20 min, stones of 1 patient were crashed by laser lithotrisy followed by extraction basket due to diameter larger than 1 cm. Stones of all patients were completely removed by using extraction basket and the method of negative pressure suction. No severe adverse event occurred. There was no recurrence of gallbladder stone during the follow-up of 8.5-24.0 months. It is preliminarily believed that endoscopic transpapillary gallbladder-preserving cholecystolithotomy is safe and effective due to its super minimally invasive advantages, which is worth of further clinical application.
