Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series
Abstract Background and study aim The development of a new cholangioscope, the SpyGlass™ Discover (Boston Scientific), has allowed the laparoscopic transcystic common bile duct exploration and stone clearance. The possibility of simultaneous treatment of choledocholithiasis during early laparoscopic...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13017-023-00529-0 |
| _version_ | 1797275433940549632 |
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| author | Paola Fugazzola Carlo Maria Bianchi Francesca Calabretto Enrico Cicuttin Francesca Dal Mas Tommaso Dominioni Marcello Maestri Aurelio Mauro Alice Podestà Matteo Tomasoni Francesco Brucchi Jacopo Viganò Luca Ansaloni Andrea Anderloni Lorenzo Cobianchi |
| author_facet | Paola Fugazzola Carlo Maria Bianchi Francesca Calabretto Enrico Cicuttin Francesca Dal Mas Tommaso Dominioni Marcello Maestri Aurelio Mauro Alice Podestà Matteo Tomasoni Francesco Brucchi Jacopo Viganò Luca Ansaloni Andrea Anderloni Lorenzo Cobianchi |
| author_sort | Paola Fugazzola |
| collection | DOAJ |
| description | Abstract Background and study aim The development of a new cholangioscope, the SpyGlass™ Discover (Boston Scientific), has allowed the laparoscopic transcystic common bile duct exploration and stone clearance. The possibility of simultaneous treatment of choledocholithiasis during early laparoscopic cholecystectomy offers the opportunity to enormously reduce the time between acute cholecystitis diagnosis and the execution of cholecystectomy with better outcomes for patients. Furthermore, an altered anatomy of the gastrointestinal tract is not an obstacle to this technique. The aim of the study was to determine whether this new procedure is feasible, safe, and effective. Patients and methods The investigation employs a retrospective case series study including all consecutive patients with a diagnosis of common bile duct stones undergoing cholecystectomy and intraoperative laparoscopic common bile duct clearance using SpyGlass™ Discover at IRCCS Policlinico San Matteo in Pavia (Italy). Eighteen patients were included from May 2022 to May 2023. Results A complete clearance of the common bile duct was obtained in 88.9% of patients. The mean postoperative length of stay was 3 days. No major complications occurred. After a median follow-up of 8 months, no recurrence of biliary events or readmissions occurred. Conclusion This procedure has proven to be feasible, safe, and effective. |
| first_indexed | 2024-03-07T15:13:19Z |
| format | Article |
| id | doaj.art-ac8ec5a7267844468eb99b130747c656 |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-03-07T15:13:19Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-ac8ec5a7267844468eb99b130747c6562024-03-05T18:03:07ZengBMCWorld Journal of Emergency Surgery1749-79222024-03-011911710.1186/s13017-023-00529-0Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case seriesPaola Fugazzola0Carlo Maria Bianchi1Francesca Calabretto2Enrico Cicuttin3Francesca Dal Mas4Tommaso Dominioni5Marcello Maestri6Aurelio Mauro7Alice Podestà8Matteo Tomasoni9Francesco Brucchi10Jacopo Viganò11Luca Ansaloni12Andrea Anderloni13Lorenzo Cobianchi14Division of General Surgery, IRCCS Policlinico San Matteo FoundationDivision of General Surgery, IRCCS Policlinico San Matteo FoundationBreast Surgery Unit, San Raffaele Hospital of MilanDivision of General Surgery, IRCCS Policlinico San Matteo FoundationDepartment of Management, Ca’ Foscari University of VeniceDivision of General Surgery, IRCCS Policlinico San Matteo FoundationDivision of General Surgery, IRCCS Policlinico San Matteo FoundationEndoscopy Unit, Fondazione IRCCS Policlinico San MatteoDivision of General Surgery, IRCCS Policlinico San Matteo FoundationDivision of General Surgery, IRCCS Policlinico San Matteo FoundationUniversity of MilanoDivision of General Surgery, IRCCS Policlinico San Matteo FoundationDivision of General Surgery, IRCCS Policlinico San Matteo FoundationEndoscopy Unit, Fondazione IRCCS Policlinico San MatteoDivision of General Surgery, IRCCS Policlinico San Matteo FoundationAbstract Background and study aim The development of a new cholangioscope, the SpyGlass™ Discover (Boston Scientific), has allowed the laparoscopic transcystic common bile duct exploration and stone clearance. The possibility of simultaneous treatment of choledocholithiasis during early laparoscopic cholecystectomy offers the opportunity to enormously reduce the time between acute cholecystitis diagnosis and the execution of cholecystectomy with better outcomes for patients. Furthermore, an altered anatomy of the gastrointestinal tract is not an obstacle to this technique. The aim of the study was to determine whether this new procedure is feasible, safe, and effective. Patients and methods The investigation employs a retrospective case series study including all consecutive patients with a diagnosis of common bile duct stones undergoing cholecystectomy and intraoperative laparoscopic common bile duct clearance using SpyGlass™ Discover at IRCCS Policlinico San Matteo in Pavia (Italy). Eighteen patients were included from May 2022 to May 2023. Results A complete clearance of the common bile duct was obtained in 88.9% of patients. The mean postoperative length of stay was 3 days. No major complications occurred. After a median follow-up of 8 months, no recurrence of biliary events or readmissions occurred. Conclusion This procedure has proven to be feasible, safe, and effective.https://doi.org/10.1186/s13017-023-00529-0Case seriesCholedochoscopyCholedocholithiasisCholangioscopySpyGlass |
| spellingShingle | Paola Fugazzola Carlo Maria Bianchi Francesca Calabretto Enrico Cicuttin Francesca Dal Mas Tommaso Dominioni Marcello Maestri Aurelio Mauro Alice Podestà Matteo Tomasoni Francesco Brucchi Jacopo Viganò Luca Ansaloni Andrea Anderloni Lorenzo Cobianchi Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series World Journal of Emergency Surgery Case series Choledochoscopy Choledocholithiasis Cholangioscopy SpyGlass |
| title | Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series |
| title_full | Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series |
| title_fullStr | Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series |
| title_full_unstemmed | Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series |
| title_short | Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series |
| title_sort | intraoperative transcystic laparoscopic common bile duct stone clearance with spyglass™ discover during emergency and elective cholecystectomy a single center case series |
| topic | Case series Choledochoscopy Choledocholithiasis Cholangioscopy SpyGlass |
| url | https://doi.org/10.1186/s13017-023-00529-0 |
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