TAVAC: choledochoscopy disposable scopes, and the single-stage vs. two-stage approach to choledocholithiasis

被引:1
|
作者
Docimo Jr, Salvatore [1 ]
Sucandy, Iswanto [2 ]
Luhrs, Andrew [3 ]
Snow, Tim [4 ]
Pechman, David [5 ]
机构
[1] Univ S Florida, Dept Surg, Tampa, FL 33620 USA
[2] AdventHlth Tampa, Digest Hlth Inst, Tampa, FL USA
[3] Brown Univ, Dept Surg, Warren Alpert Med Sch, Providence, RI USA
[4] Sentara Martha Jefferson Hosp, Charlottesville, VA USA
[5] Northwell Hlth, Zucker Sch Med Hofstra, Hempstead, NY USA
关键词
Choledochoscopy; Common bile duct stones; Common bile duct exploration; Choledocholithiasis; BILE-DUCT EXPLORATION; LAPAROSCOPIC CHOLECYSTECTOMY; STONE EXTRACTION; MANAGEMENT; METAANALYSIS; SIMULATOR; CALCULI;
D O I
10.1007/s00464-023-10267-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundPrevious studies have been published evaluating the benefits and drawbacks of clearing the common bile duct of stones using a single-stage approach (LCBDE + LC) versus a two-stage approach (ERCP followed by LC). These studies have demonstrated that a single-stage approach offers similar outcomes and morbidities as a two-stage approach, with the added benefit of a lower cost and shorter length of stays. However, it is significant we understand why LCBDE is not commonly performed currently and also the lapse in surgical trainee exposure and competence in LCBDE. This paper aims to address the lapse in surgical trainee exposure to LCBDE, evaluate the scopes currently available to perform LCBDE, and review current data evaluating the risks and benefits of single-stage versus two-stage approaches to.MethodsWe utilized PubMed to analyze all publications related to the various disposable scopes utilized to perform choledochoscopy. We also discuss the need for disposable scopes and how this new market niche is transforming the choledochoscopy space.ResultsWe analyzed the data related to single-stage and two-stage approach to choledocholithiasis. We noted an overall shorter length of stay and also decreased costs in favor of a single-stage approach.ConclusionA single-stage LCBDE is the most cost-effective treatment option for choledocholithiasis in patients with choledocholithiasis undergoing a cholecystectomy. In addition, single-stage approach is associated with shorter length of stay. Knowledge of the available choledochoscopes and tools available to surgeons to perform choledochoscopy is significant. The evidence does support the use of disposable choledochoscope from a cost and cross-contamination perspective. Additionally, efforts should be made to incorporate LCBDE into the teaching paradigm of surgical training programs.
引用
收藏
页码:6611 / 6618
页数:8
相关论文
共 50 条
  • [1] TAVAC: choledochoscopy disposable scopes, and the single-stage vs. two-stage approach to choledocholithiasis
    Salvatore Docimo
    Iswanto Sucandy
    Andrew Luhrs
    Tim Snow
    David Pechman
    [J]. Surgical Endoscopy, 2023, 37 : 6611 - 6618
  • [2] Single-stage vs. two-stage Reconstruction after Bile Duct Injuries in laparoscopic Cholecystectomy
    Manekeller, Steffen
    [J]. ZENTRALBLATT FUR CHIRURGIE, 2020, 145 (03): : 211 - 212
  • [3] Results of Single Stage vs. Two-Stage Total Knee Arthroplasty
    Wohlrab, D.
    Haedicke, E.
    Radetzki, F.
    Vasarhelyi, A.
    Mendel, T.
    Zeh, A.
    [J]. ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE, 2011, 149 (02): : 178 - 184
  • [4] Two-stage vs. single-stage management of cholelithiasis and common bile duct stones:: a prospective, randomised trial
    Ponzano, C
    Machesney, M
    Recher, A
    Mereu, A
    Napolitano, C
    di Paola, M
    Hüscher, CGS
    [J]. BRITISH JOURNAL OF SURGERY, 2004, 91 : 42 - 42
  • [5] Two-stage Versus Single-stage Management of Patients with Choledocholithiasis: Meta-analysis of Randomized Controlled Trials
    Choudhary, Abhishek
    Winn, Jessica
    Arif, Murtaza
    Thapar, Manish
    Hammad, Hazem
    Grewal, Ajitinder
    Hammoud, Ghasan
    Bechtold, Matthew
    Ibdah, Jamal
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2010, 105 : S70 - S71
  • [6] Better defining the optimal management of penile urethral strictures: A retrospective comparison of single-stage vs. two-stage urethroplasty
    Hoy, Nathan Y.
    Chapman, David W.
    Rourke, Keith F.
    [J]. CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL, 2019, 13 (12): : 414 - 418
  • [7] Complications and cost of single-stage vs. two-stage bilateral unicompartmental knee arthroplasty: A case-control study
    Siedlecki, C.
    Beaufils, P.
    Lemaire, B.
    Pujol, N.
    [J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2018, 104 (07) : 949 - 953
  • [8] Comparing One-Stage vs Two-Stage Approaches for the Management of Choledocholithiasis
    Obada Kattih
    Vic Velanovich
    [J]. Journal of Gastrointestinal Surgery, 2023, 27 : 534 - 543
  • [9] Comparing One-Stage vs Two-Stage Approaches for the Management of Choledocholithiasis
    Kattih, Obada
    Velanovich, Vic
    [J]. JOURNAL OF GASTROINTESTINAL SURGERY, 2023, 27 (03) : 534 - 543
  • [10] Two-stage vs single-stage management for concomitant gallstones and common bile duct stones
    Lu, Jiong
    Cheng, Yao
    Xiong, Xian-Ze
    Lin, Yi-Xin
    Wu, Si-Jia
    Cheng, Nan-Sheng
    [J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2012, 18 (24) : 3156 - 3166