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Updated: Apr 17, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Computer-aided rigid choledochoscopy lithotripsy for hepatolithiasis.

Chi-Hua Fang¹, Gang Li¹, Ping Wang²

¹Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.

The Journal of Surgical Research

|February 15, 2015

Summary

This summary is machine-generated.

Three-dimensional (3D) visualization guided rigid choledochoscopy lithotripsy offers a feasible and effective treatment for hepatolithiasis. This method demonstrated improved outcomes compared to hepatectomy, including reduced complications and faster recovery.

Keywords:

Hepatolithiasis Rigid choledochoscopy lithotripsy Three-dimensional visualization technology

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Last Updated: Apr 17, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Area of Science:

Hepatobiliary surgery
Minimally invasive procedures
Medical imaging technology

Background:

Hepatolithiasis presents significant surgical challenges, particularly in patients with prior hepatobiliary surgery.
This study evaluates a novel approach using a patented 3D visualization system for rigid choledochoscopy lithotripsy.
The technique is compared against traditional hepatectomy without 3D reconstruction.

Purpose of the Study:

To assess the efficacy of 3D visualization-guided rigid choledochoscopy lithotripsy for hepatolithiasis.
To compare perioperative outcomes between 3D-guided lithotripsy and conventional hepatectomy.
To determine the impact of 3D technology on surgical planning and patient recovery.

Main Methods:

A retrospective study comparing 64 patients (group A) undergoing 3D visualization-guided lithotripsy with 61 patients (group B) undergoing hepatectomy.
Data collected included demographic and perioperative characteristics.
The 3D system provided intraoperative guidance on stone distribution and spatial relationships with vascular structures.

Main Results:

Group A showed significantly lower intermediate residual stone rates, shorter operating times, and reduced blood loss and transfusion requirements compared to group B.
Patients in group A experienced shorter postoperative hospital stays and fewer complications, with better liver function preservation.
Final residual stone rates, recurrence rates, and recurrent cholangitis rates were comparable between the two groups.

Conclusions:

3D visualization technology serves as a valuable tool for planning rigid choledochoscopy lithotripsy in hepatolithiasis management.
This technique is a feasible and effective treatment option, offering improved perioperative results.
The study highlights the potential of advanced imaging to enhance surgical outcomes in complex hepatobiliary conditions.