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01-12-2021

Percutaneous transhepatic cholangioscopy using a single-operator cholangioscope (pSOC), a retrospective, observational, multicenter study

Authors: Christian Gerges, Alain García Vázquez, Andrea Tringali, Juan Manuel Verde, Tobias Dertmann, Eduardo Houghton, Alessandro Cina, Torsten Beyna, Federico Sylvestre Begnis, Margherita Pizzicannella, Mariano Palermo, Silvana Perretta, Guido Costamagna, Jacques Marescaux, Horst Neuhaus, Ivo Boškoski, Mariano Eduardo Giménez

Published in: Surgical Endoscopy | Issue 12/2021

Abstract

Background and aims

Percutaneous cholangioscopy (PC) is more complex and invasive than a transpapillary approach, with the need for a large percutaneous tract of 16 French (Fr) on average in order to advance standard percutaneous cholangioscopes. The aim of this study was to investigate whether percutaneous single-operator cholangioscopy (pSOC) using the SpyGlass^™ DS system is feasible, safe, and effective in PC for diagnostic and therapeutic indications.

Materials and methods

The data of 28 patients who underwent pSOC in 4 tertiary referral centers were retrospectively analyzed. Technical and clinical success for therapeutic procedures was assessed as well as diagnostic accuracy of pSOC-guided biopsies and visualization. Adverse events and the required number and size of dilatations were reviewed.

Results

25/28 (89%) patients had a post-surgical altered anatomy. The average number of percutaneous dilatations prior to pSOC was 1.25 with a mean dilatation size of 11 French. Histopathology showed a 100% accuracy. Visual impression showed an overall accuracy of 96.4%. Technical and clinical success was achieved in 27/28 (96%) of cases. Adverse events occurred in 3/28 (10.7%) cases.

Conclusion

pSOC is a feasible, safe, and effective technique for diagnostic and therapeutic indications. It may be considered an alternative approach in clinical cases where gastrointestinal anatomy is altered. It has the potential to reduce peri-procedural adverse events and costs. Prospective randomized-controlled trials are necessary to confirm the previously collected data.

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Title: Percutaneous transhepatic cholangioscopy using a single-operator cholangioscope (pSOC), a retrospective, observational, multicenter study
Authors: Christian Gerges
Alain García Vázquez
Andrea Tringali
Juan Manuel Verde
Tobias Dertmann
Eduardo Houghton
Alessandro Cina
Torsten Beyna
Federico Sylvestre Begnis
Margherita Pizzicannella
Mariano Palermo
Silvana Perretta
Guido Costamagna
Jacques Marescaux
Horst Neuhaus
Ivo Boškoski
Mariano Eduardo Giménez
Publication date: 01-12-2021
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 12/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-020-08176-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous transhepatic cholangioscopy using a single-operator cholangioscope (pSOC), a retrospective, observational, multicenter study

Abstract

Background and aims

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and aims

Materials and methods

Results

Conclusion

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