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A propensity score matching study between conventional and soft fiber-optic choledochoscope guided percutaneous transhepatic cholangioscopic lithotripsy for treatment of cholelithiasis

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Abstract

Background

Percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) provides an alternative method for cholelithiasis treatment. Since conventional rigid choledochoscope applied in PTCSL lacks high flexibility and high-resolution vision, we developed a new, soft fiber-optic choledochoscope (SFCS) to solve these problems.

Objective

We aim to verify the safety and efficacy of PTCSL guided by the newly developed choledochoscope, SCFS.

Methods

In this study, a total of 58 patients undergoing PTCSL from November, 2020 to December, 2020 in Zhuhai People’s Hospital were enrolled, including 32 patients undergoing conventional PTCSL and 26 patients undergoing SFCS-guided PTCSL. A method of propensity score matching was used in order to balance the pre-operative indexes of the two groups. As a result, a total of 21 pairs (1:1) were created. SFCS-guided PTCSL was performed on patients in the SFCS group for the treatment of cholelithiasis. The operation time, intraoperative blood loss, immediate clearance rate, final clearance rate, postoperative hospitalization time, postoperative complication rate, and recurrence rate were compared between the two groups. A 6-month follow-up was performed for the two groups.

Results

SFCS-guided PTCSL represents safe and effective treatment outcomes. The immediate clearance rate and final clearance rate in the SFCS group were significantly higher than that of the conventional group. Operation time, intraoperative blood loss, postoperative hospitalization days, and recurrence rate in the SFCS group were significantly lower than that of the conventional group.

Conclusions

SFCS applied in PTCSL appears to be a safe and effective method for the treatment of cholelithiasis.

This study has been registered in Chinese Clinical Trial Registry as required by legislation (Registration number: ChiCTR1800016864, Registration time: 2018/02/08).

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Data availability

All the data could be accessed via the email address of the corresponding author.

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Acknowledgements

We thank Zhuhai People’s Hospital (Zhuhai hospital affiliated with Jinan University) for providing the necessary support for our study.

Funding

The study was funded by the Medical Research Program of Guangdong Provincial Health Bureau (Grant No. 2020424).

Author information

Authors and Affiliations

  1. The Second Department of General Surgery, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated With Jinan University), Guangdong Province, 519000, Zhuhai, China

    Hao Jin

  2. Zhuhai People’s Hospital (Zhuhai Hospital Affiliated with Jinan University), Zhuhai, 519000, Guangdong Province, China

    Min Cui

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  1. Hao Jin
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Contributions

Cui M proposed the study. Cui M and Jin H performed the research and wrote the first draft. Both authors contributed to the design and interpretation of the study and to further drafts. Cui M is the guarantor.

Corresponding author

Correspondence to Min Cui.

Ethics declarations

Ethics approval

Our study has been approved by the Ethical Committee of Zhuhai People’s Hospital (No. 2019–6). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review boards of Zhuhai People’s Hospital (Zhuhai, China) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study has been registered in the Chinese Clinical Trial Registry as required by legislation (Registration number: ChiCTR1800016864).

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Informed consent was obtained from the individual participant included in the study.

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The participants gave consent for his personal and clinical details along with any identifying images to be published in this study.

Competing interests

The authors declare no competing interests.

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Jin, H., Cui, M. A propensity score matching study between conventional and soft fiber-optic choledochoscope guided percutaneous transhepatic cholangioscopic lithotripsy for treatment of cholelithiasis. Langenbecks Arch Surg 407, 675–683 (2022). https://doi.org/10.1007/s00423-021-02359-7

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  • DOI: https://doi.org/10.1007/s00423-021-02359-7

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