Utility of SpyGlass system-guided electrohydraulic lithotripsy for choledocholithiasis(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2023年第11期
- Page:
- 1428-1432
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Utility of SpyGlass system-guided electrohydraulic lithotripsy for choledocholithiasis
- Author(s):
- MENG Zhao
- Department of Gastroenterology, the Second Peoples Hospital of Qinzhou, Qinzhou 535000, China
- Keywords:
- Keywords: choledocholithiasis direct visualization system for peroral cholangioscopy lithotripsy endoscopic retrograde cholangiopancreatography
- PACS:
- R657.42
- DOI:
- DOI:10.3969/j.issn.1005-202X.2023.11.018
- Abstract:
- Abstract: Objective To explore the application value of SpyGlass system in the treatment of choledocholithiasis. Methods A total of 120 patients with choledocholithiasis were enrolled and randomly divided into a combined group and a control group, with 60 cases each. The control group was treated with endoscopic retrograde cholangiopancreatography and electrohydraulic lithotripsy, while SpyGlass system was used in combined group in addition to the treatments given to control group. The two groups were compared in terms of bile duct diameter, number of stones, stone diameter, surgical duration, X-ray exposure duration, success rate for a first attempt at lithotripsy, intraoperative bleeding rate, liver function indicators (TBIL, ALT, AST, γ-GT), C-reactive protein (CRP), white blood cells (WBC), and surgical complications. Results There was no statistically significant difference in bile duct diameter, number of stones, stone diameter, and intraoperative bleeding rate between two groups (P>0.05). Compared with control group, combined group had shorter surgical duration and X-ray exposure duration, and higher success rate for a first attempt at lithotripsy (P<0.05). The differences between two groups in liver function indicators (ALT, AST, TBIL, γ-GT), CRP, and WBC before surgery and at 48 h after surgery were trivial (P>0.05) and the treatments of both combined group and control group significantly improved liver function, and reduced CRP and WBC (P<0.05). The incidence of complications in combined group was 3.33%, significantly lower than the 13.33% in control group (P<0.05). Conclusion SpyGlass system-guided lithotripsy for choledocholithiasis can effectively shorten surgical duration and X-ray exposure duration, improve the success rate for a first attempt at lithotripsy, and reduce the incidence of surgical complications.
Last Update: 2023-11-24