Skip to main content

Percutaneous Biliary Endoscopy: Technique and Clinical Applications

  • Chapter
Biliary Tract Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Percutaneous cholangioscopy consists in the direct visualization of the biliary tree — for both diagnostic and therapeutic purposes — using a flexible endoscope that can be introduced percutaneously, either through a transhepatic tract created during biliary drainage or through a surgical T-tube tract. The technique was initially used in the early 1970s by some Japanese surgeons (Takada et al. 1974; Yamakawa et al. 1976) and then taken up around the world in the late 1980s and early 1990s by radiologists and surgeons (Picus et al. 1989; Nimura et al. 1989; Bonnel et al. 1991; Picus 1995; Rossi et al. 1996). More recently, many surgeons have begun to use a fine-caliber endoscope during laparascopic operations, to visualize the intrahepatic ducts or for therapeutic maneuvers (Lezoche and Paganini 1995).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bezzi M, Panzetti C, Bonomo G, Pedicini V, Salvatori FM, Rossi P (1996) Plastic covered Wallstents in malignant biliary obstruction: evaluation in seventeen patients. Abstract book of the Society of Cardiovascular and Interventional Radiology 21st Scientific Meeting, p 115

    Google Scholar 

  • Bonnel DH, Liguory CE, Cornud FE, Lefebvre JFP (1991) Common bile duct and intrahepatic stones: results of transhepatic electrohydraulic lithotripsy in 50 patients. Radiology 180: 345–348

    PubMed  CAS  Google Scholar 

  • Burhenne HJ (1975) Electrohydraulic fragmentation of retained common duct stones. Radiology 117: 721–722

    PubMed  CAS  Google Scholar 

  • Guenther RW, Vorwerk DV, Klose KJ, et al (1990) Fine caliber cholangioscopy. Radiol Clin N Am 28: 1171–1183

    PubMed  CAS  Google Scholar 

  • Jan YY, Chen MF (1995) Percutaneous transhepatic cholangioscopic lithotomy for hepatolithiasis: long-term results. Gastrointest Endosc 42: 94–96

    Article  Google Scholar 

  • Jeng KS, Chiang HJ, Shih SC (1989) Limitations of percutaneous transhepatic cholangioscopy in the removal of complicated biliary calculi. World J Surg 13: 603–610

    Article  PubMed  CAS  Google Scholar 

  • Kubota Y, Nakahashi Y, Nakatani S (1993) Bilateral internal drainage of hilar cholangiocarcinoma with self-expanding metallic stents via a single percutaneous tract. Gastroenterology 104: A367

    Google Scholar 

  • Lezoche E, Paganini AM (1995) Single-stage laparoscopic treatment of gallstones and common bile duct stones in 120 unselected, consecutive patients. Surg Endosc 9:1070– 1075

    Article  PubMed  CAS  Google Scholar 

  • Maetani I, Hoshi H, Ohashi S, et al (1993) Cholangioscopic extraction of intrahepatic stones associated with biliary strictures using a rendezvous technique. Endoscopy 25: 303–306

    Article  PubMed  CAS  Google Scholar 

  • Mo LR, Hwang MH, Yeuh SK, Yang JC, Lin C (1988) Percutaneous transhepatic choledochoscopic electrohydraulic lithotripsy (PTCS-EHL) of common bile duct stones. Gastrointest Endosc 34: 122–125

    Article  PubMed  CAS  Google Scholar 

  • Mueller PR, Van Sonnenberg E, Ferrucci JT, et al (1986) Biliary strictures dilation: multicenter review of clinical management in 73 patients. Radiology 160: 17–22

    PubMed  CAS  Google Scholar 

  • Neuhaus H, Hoffmann W, Classen M (1993) Nutzen and Risiken der perkutanen transhepatischen Cholangioskopie. Dtsch Med Wochenschr 118: 574–581

    Article  PubMed  CAS  Google Scholar 

  • Nimura Y (1993) Staging of biliary carcinoma: Cholangiography and Cholangioscopy. Endoscopy 25: 76–80

    Article  PubMed  CAS  Google Scholar 

  • Nimura Y, Kamiya J, Hayakawa N, Shionoya S (1989) Cholangioscopic differentiation of biliary strictures and polyps. Endoscopy 21: 351–356

    Article  PubMed  Google Scholar 

  • Nimura Y, Hayakawa N, Kamiya J, et al (1990) Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus. World J Surg 14: 535

    Article  PubMed  CAS  Google Scholar 

  • Picus D (1995) Percutaneous biliary endoscopy. J Vase Interv Radiol 6: 303–310

    Article  CAS  Google Scholar 

  • Picus D, Weyman PJ, Marx MV (1989) Role of percutaneous intracorporeal electrohydraulic lithotripsy in the treatment of biliary tract calculi. Radiology 170: 989–993

    PubMed  CAS  Google Scholar 

  • Riemann JF, Kohler B (1993) Endoscopy of the pancreatic duct: value of different endoscopes types. Gastrointest Endosc 39: 367–370

    Article  PubMed  CAS  Google Scholar 

  • Rossi P, Bezzi M, Fiocca F, Salvatori FM, Grasso E, Speranza V (1996) Percutaneous cholangioscopy. Semin Interv Radiol 13: 185–193

    Article  Google Scholar 

  • Sato M, Maetani I, Ohashi S, et al (1994) Relationship between percutaneous transhepatic cholangioscopy findings and pattern of carcinomatous spread in the bile duct. Diagn Therap Endosc 1: 45–50

    Article  CAS  Google Scholar 

  • Tajiri H, Kobayashi M, Niwa H, et al (1993) Clinical application of an ultrathin pancreatoscope using a sequential video converter. Gastrointest Endosc 39: 371–374

    Article  PubMed  CAS  Google Scholar 

  • Takada T, Suzuki S, Nakamura K, et al (1974) Studies in percutaneous biliary tract endoscopy. Gastroenterol Endosc 16: 106–111

    Google Scholar 

  • Venbrux AC, Robbins KV, Savader SJ, et al (1991) Endoscopy as an adjuvant to biliary radiologic intevention. Radiology 180: 355–361

    PubMed  CAS  Google Scholar 

  • Yamakawa T, Mieno K, Noguchi T, Shikata J (1976) An im-proved choledochofiberscope and non-surgical removal of retained biliary calculi under direct visual control. Gastrointest Endosc 22: 160–164

    Article  PubMed  CAS  Google Scholar 

  • Yamase H, Nimura Y, Hayakawa N, et al (1988) Differential diagnosis on stenosis of distal bile duct by percutaneous transhepatic cholangioscopy (PTCS). Gastroenterol Endosc 30: 1175–1182

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Rossi, P., Bezzi, M., Salvatori, F.M., Fiocca, F. (1997). Percutaneous Biliary Endoscopy: Technique and Clinical Applications. In: Rossi, P., Bezzi, M. (eds) Biliary Tract Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60343-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60343-3_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64363-7

  • Online ISBN: 978-3-642-60343-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics