The Usefulness of Peroral Cholangioscopy for Intrahepatic Stones
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients
2.2. Materials and Method
2.3. Case 1: EHL under POCS with Normal Anatomy
2.4. Case 2: Treatment with a Metal Stent to Expand Stenosis in a Patient after Right Hepatectomy
2.5. Case 3: EHL under POCS with Colonoscopy with Postoperative Anatomy
2.6. Outcome Measurements
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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n = 26 | |
---|---|
Clinical features | |
Age (median) | 64.5 (28–79) |
Male/female | 18/8 |
Previous surgery | |
Modified Child method | 9 (34%) |
Flow diversion operation | 3 (12%) |
Hepatectomy | 5 (19%) |
Coexisting disease | |
Sclerosing cholangitis | 5 (20%) |
Peribiliary cysts | 3 (12%) |
Stone | |
Size (mm) (median) | 6 (3–21) |
Number | |
1 | 2 |
2 | 1 |
3 | 1 |
≥4 | 22 |
n = 26 | |
---|---|
Complete stone removal (first session) | 14 (54%) |
Complete stone removal (last session) | 24 (92%) |
Procedure time (minutes) (median) | 97 (27–220) |
Complications | |
Pancreatitis | 3 (12%) |
Cholangitis | 6 (24%) |
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Share and Cite
Sakamoto, Y.; Takeda, Y.; Seki, Y.; Kawahara, S.; Shimosaka, T.; Hamamoto, W.; Koda, H.; Yamashita, T.; Onoyama, T.; Matsumoto, K.; et al. The Usefulness of Peroral Cholangioscopy for Intrahepatic Stones. J. Clin. Med. 2022, 11, 6425. https://doi.org/10.3390/jcm11216425
Sakamoto Y, Takeda Y, Seki Y, Kawahara S, Shimosaka T, Hamamoto W, Koda H, Yamashita T, Onoyama T, Matsumoto K, et al. The Usefulness of Peroral Cholangioscopy for Intrahepatic Stones. Journal of Clinical Medicine. 2022; 11(21):6425. https://doi.org/10.3390/jcm11216425
Chicago/Turabian StyleSakamoto, Yuri, Yohei Takeda, Yuta Seki, Shiho Kawahara, Takuya Shimosaka, Wataru Hamamoto, Hiroki Koda, Taro Yamashita, Takumi Onoyama, Kazuya Matsumoto, and et al. 2022. "The Usefulness of Peroral Cholangioscopy for Intrahepatic Stones" Journal of Clinical Medicine 11, no. 21: 6425. https://doi.org/10.3390/jcm11216425