Prof Subhash Khanna, MS, FICS, FIAGES, FALS. Swagat Super Speciality Surgical Institute
Objective: The aim of this study was to look at the feasibility of using the new version of cholangioscope (Boston Scientific ) in managing the left out calculi in the postcholecystectomy stump and also in cases of Mirizzi's syndrome where the laparoscopic surgery may not be safe .
Description of technology: The single operator Spycholangioscope has emerged a technology for use to take early biopsy of suspicious lesions in the biliary and hepatic ducts and so also for managing large calculi in the bile duct and hepatic ducts.
This single user choalngioscope was used for doing cholangioscopy of the cystic duct after selective cannulation of the bile duct and balloon sphincteroplasty of the sphincter of Oddi.
The 10 F cholangioscope could be easily passed into the left out stump and the gall stone from the remnant could be pulverized easily with the help of Homium laser .Not only this technique was also used in our study to extract ascaris lumbricoides from the biliary tree and also the migrated stent.
Results: The technique of spglas cholangioscopy is fesaible and safe for all difficult common bile and hepatic duct stones,but its use for cystic duct stones and for treating the stonein Mirizzi s is comapartively new and seem to be much safer than the difficult laparoscopic cholecystectomy in this cases.The video of technical details shall be demonstrated .
Results of our series of 54 cases of stump calculi,51 0f whom underwent laparoscopic and rest 3 undergoing spyglass extraction shall be shared .
Conclusion: The technique of Spyglass cholangioscopy is new emerging technology for us for all difficult CBD stones but its use for cystic duct stump calculi and for Mirizzi's is feasible and safe and soon may become the procedure of choice.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 98940
Program Number: ETP712
Presentation Session: Emerging Technology Poster Session (Non CME)
Presentation Type: Poster
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