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ERCP Combined with Single Operator Cholangioscope-Guided Transpapillary Gallbladder Polyps Resection: A Novel
Liying Tao1,2, Hongguang Wang2, Hailu Wu3
1Southeast University, Nanjing, Jiangsu, China.
Digestive Diseases and Sciences
|January 3, 2026
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) with single-operator cholangioscopy (SOC) safely and effectively removed gallbladder polyps in 10 patients. This minimally invasive technique shows promise for wider clinical use.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Endoscopy
Background:
- Gallbladder polyps and common bile duct stones require effective management.
- Transpapillary gallbladder polyp resection presents a minimally invasive treatment option.
Purpose of the Study:
- To evaluate the safety and efficacy of ERCP combined with single-operator cholangioscopy (SOC) for managing common bile duct stones and transpapillary gallbladder polyps.
- To assess technical and clinical success rates, polyp resection, and complication rates.
Main Methods:
- A retrospective case series of 10 patients treated with ERCP and SOC for gallbladder polyps and CBD stones.
- Analysis of technical/clinical success, polyp resection rate, cystic duct cannulation methods, procedure/resection times, and complications.
Main Results:
- 100% technical and clinical success rate for SOC-guided gallbladder polyp removal.
- Mean procedure time was 53.0 ± 14.2 min; mean polyp resection time was 20.80 ± 11.02 min.
- No intraoperative or postoperative complications; no recurrence during follow-up (3-28 months).
Conclusions:
- Transpapillary gallbladder polyp resection using ERCP with SOC is a feasible and safe minimally invasive technique.
- This approach demonstrates potential for broader clinical adoption in managing gallbladder polyps.
