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Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases
Intraductal biliary lesions can involve the main hepatic confluence. Assessment of the extension of pedunculated biliary lesions during per-oral cholangioscopy (POCS) can optimize and personalize the surgical strategy. Four consecutive cases of pedunculated biliary lesions were analysed. Cholangiosc...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709184/ https://www.ncbi.nlm.nih.gov/pubmed/36465430 http://dx.doi.org/10.1177/26317745221139735 |
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author | Tringali, Andrea Milluzzo, Sebastian Manuel Ardito, Francesco Laurenzi, Andrea Ettorre, Giuseppe Maria Barbaro, Brunella Ricci, Riccardo Giuliante, Felice Boškoski, Ivo Costamagna, Guido |
author_facet | Tringali, Andrea Milluzzo, Sebastian Manuel Ardito, Francesco Laurenzi, Andrea Ettorre, Giuseppe Maria Barbaro, Brunella Ricci, Riccardo Giuliante, Felice Boškoski, Ivo Costamagna, Guido |
author_sort | Tringali, Andrea |
collection | PubMed |
description | Intraductal biliary lesions can involve the main hepatic confluence. Assessment of the extension of pedunculated biliary lesions during per-oral cholangioscopy (POCS) can optimize and personalize the surgical strategy. Four consecutive cases of pedunculated biliary lesions were analysed. Cholangioscopy was performed with a disposable single-operator cholangioscope. POSC was successfully performed in four patients (three female, mean age 50 years), showing involvement of the main biliary confluence in three of four pedunculated biliary lesions; direct biopsy sampling was diagnostic in two of three cases (in one patient, biopsy were not performed due to the smooth appearance of the intrabiliary lesion). No adverse events occurred after POCS. Surgery required excision of the main hepatic confluence in two of three cases (one patient was not resectable). POCS can diagnose intrabiliary extension of protruding biliary lesions, providing important information to plan the surgical intervention. |
format | Online Article Text |
id | pubmed-9709184 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-97091842022-12-01 Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases Tringali, Andrea Milluzzo, Sebastian Manuel Ardito, Francesco Laurenzi, Andrea Ettorre, Giuseppe Maria Barbaro, Brunella Ricci, Riccardo Giuliante, Felice Boškoski, Ivo Costamagna, Guido Ther Adv Gastrointest Endosc Case Report Intraductal biliary lesions can involve the main hepatic confluence. Assessment of the extension of pedunculated biliary lesions during per-oral cholangioscopy (POCS) can optimize and personalize the surgical strategy. Four consecutive cases of pedunculated biliary lesions were analysed. Cholangioscopy was performed with a disposable single-operator cholangioscope. POSC was successfully performed in four patients (three female, mean age 50 years), showing involvement of the main biliary confluence in three of four pedunculated biliary lesions; direct biopsy sampling was diagnostic in two of three cases (in one patient, biopsy were not performed due to the smooth appearance of the intrabiliary lesion). No adverse events occurred after POCS. Surgery required excision of the main hepatic confluence in two of three cases (one patient was not resectable). POCS can diagnose intrabiliary extension of protruding biliary lesions, providing important information to plan the surgical intervention. SAGE Publications 2022-11-27 /pmc/articles/PMC9709184/ /pubmed/36465430 http://dx.doi.org/10.1177/26317745221139735 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Tringali, Andrea Milluzzo, Sebastian Manuel Ardito, Francesco Laurenzi, Andrea Ettorre, Giuseppe Maria Barbaro, Brunella Ricci, Riccardo Giuliante, Felice Boškoski, Ivo Costamagna, Guido Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
title | Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
title_full | Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
title_fullStr | Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
title_full_unstemmed | Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
title_short | Peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
title_sort | peroral-cholangioscopy to plan surgery for protruding biliary lesions: report of four cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709184/ https://www.ncbi.nlm.nih.gov/pubmed/36465430 http://dx.doi.org/10.1177/26317745221139735 |
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