Consensus document for the transcystic approach to choledocholithiasis with ultrathin flexible choledochoscope

IF 1.3 4区医学 Q3 SURGERY

Cirugia Espanola Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI:10.1016/j.ciresp.2025.800259

Alejandra García-Botella , Juan Pablo Arjona Trujillo , Sofía de la Serna , Pedro José Gil Vázquez , Santos Jiménez-Galanes Marchán , Erik Llàcer-Millán , Ana Belén Martín Arnau , David Martínez-Cecilia , Alba Zárate Pinedo , Alberto Martínez-Isla

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引用次数: 0

Abstract

The transcystic laparoscopic approach to manage choledocholithiasis using ultrathin flexible choledochoscopes is aimed at reducing complications linked to ERCP and transductal techniques when treating common bile duct stones with gallbladder in situ. Despite their advantages, transcystic techniques are not being widely adopted, highlighting the need for structured protocols, a multidisciplinary approach, and adequate resource allocation to optimize outcomes.

This consensus document addresses key issues to standardize the approach, based on the responses to the 25 questions posed to the panel of experts.

The recommendations issued, based on the evidence and expert opinion, cover the key factors for the success of the technique, including appropriate patient selection, technical characteristics of the approach, advanced equipment required, etc.

This comprehensive guide aims to standardize the technique in order to improve patient outcomes and ensure safe, effective treatment of choledocholithiasis.

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超薄柔性胆道镜经囊入路治疗胆总管结石的共识文献

采用超薄柔性胆道镜经囊腹腔镜治疗胆总管结石的目的是在原位治疗胆总管结石时减少与ERCP和转导技术相关的并发症。尽管有其优势，但经囊技术并没有被广泛采用，这突出表明需要结构化的协议、多学科的方法和充分的资源分配来优化结果。这份共识文件基于对向专家小组提出的25个问题的回答，解决了标准化方法的关键问题。根据证据和专家意见发布的建议涵盖了该技术成功的关键因素，包括适当的患者选择，方法的技术特征，所需的先进设备等。本综合指南旨在规范该技术，以改善患者的预后，确保胆总管结石的安全有效治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Espanola SURGERY-

CiteScore

1.20

自引率

21.10%

发文量

173

审稿时长

53 days

期刊介绍： Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.