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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Related Experiment Video

Updated: Jan 5, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
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Percutaneous Cholecystolithotomy Using Cholecystoscopy.

Seung K Kim1, Naganathan B Mani1, Michael D Darcy1

  • 1Department of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University St. Louis School of Medicine, St Louis, MO.

Techniques in Vascular and Interventional Radiology
|October 19, 2019
PubMed
Summary
This summary is machine-generated.

Percutaneous cholecystolithotomy using cholecystoscopy offers a safe alternative to cholecystectomy for high-risk patients. This minimally invasive technique effectively removes gallstones with a high success rate and manageable complications.

Keywords:
Gallstonecholecystolithotomycholecystoscopy

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Area of Science:

  • Minimally Invasive Surgery
  • Gastroenterology
  • Interventional Radiology

Background:

  • Cholecystectomy poses significant risks (up to 10% morbidity/mortality) for high-risk surgical patients.
  • Gallstone disease necessitates effective and safe treatment options, especially for those with elevated surgical risk.

Purpose of the Study:

  • To evaluate the efficacy and safety of percutaneous cholecystolithotomy guided by cholecystoscopy as an alternative to cholecystectomy.
  • To assess the technical success and complication rates associated with this minimally invasive procedure.

Main Methods:

  • Percutaneous cholecystolithotomy involves three key steps: percutaneous cholecystostomy, tract dilation with lithotripsy, and tract evaluation.
  • Cholecystoscopy is utilized for precise guidance of lithotripsy, identification of stone fragments, and assessment of intra-gallbladder lesions.

Main Results:

  • Technical success rates for percutaneous cholecystolithotomy with cholecystoscopy range from 93% to 100%.
  • Procedure-related complication rates are reported between 4% and 15%, with bile leak being the most common.
  • While gallstone recurrence can be up to 40%, symptomatic recurrence rates are significantly lower.

Conclusions:

  • Percutaneous cholecystolithotomy employing cholecystoscopy is a viable alternative to cholecystectomy for high-risk patients with symptomatic gallstones.
  • The procedure demonstrates high technical success and a manageable complication profile, offering a less invasive treatment option.