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Efficacy of 3D-printed assisted percutaneous transhepatic one-step biliary fistulation combined with rigid choledochoscopy for intrahepatic bile duct stones

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机构: [1]Department of Hepatobiliary Pancreatic Hernia Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xingang Road, Guangzhou 510317, Guangdong, People’s Republic of China [2]Guangdong Second Provincial General Hospital, School of Medicine, Jinan University, Guangzhou 510310, Guangdong, People’s Republic of China [3]Department of the First Surgical Ward of Minhang Campus, Guangdong Second Provincial General Hospital, 290 Middle Airport Road, Guangzhou 510422, Guangdong, People’s Republic of China [4]Department of General Management of Minhang Campus, Guangdong Second Provincial General Hospital, 290 Middle Airport Road, Guangzhou 510422, Guangdong, People’s Republic of China [5]Department of Ultrasound Medicine, Guangdong Second Provincial General Hospital, 466 Middle Xingang Road, Guangzhou 510317, Guangdong, People’s Republic of China [6]Department of Laboratory Medicine, Guangdong Provincial Hospital of Chinese Medicine, 111 Da De Road, Guangzhou 510120, Guangdong, People’s Republic of China
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关键词: Hepatobiliary stones 3D printing Percutaneous transhepatic One-step biliary fistulation Cholangioscopy

摘要:
This study evaluated the efficacy and safety of three-dimensional printing model-assisted percutaneous transhepatic one-step biliary fistulation (PTOBF) combined with rigid choledochoscopy for intrahepatic bile duct stones in patients with type I bile duct classification. The clinical data of 63 patients with a type I intrahepatic bile duct were reviewed from January 2019 to January 2023; 30 patients who underwent 3D printed model-assisted PTOBF combined with rigid choledochoscopy composed the experimental group and 33 patients who underwent simple PTOBF combined with rigid choledochoscopy composed the control group. Six indicators, including one-stage operation time and clearance rate, final removal rate, bleeding volume, channel size and complications, were observed and analyzed in the two groups. The one-stage and final removal rate in the experimental group was higher than that in the control group (P = 0.034, P = 0.014 versus control group). The time of one-stage operation, bleeding volume, and incidence of complications in the experimental group were significantly lower than those in the control group (P < 0.001, P = 0.039, P = 0.026 versus control group). Compared with simple PTOBF combined with rigid choledochoscopy, 3D printed model-assisted PTOBF combined with rigid choledochoscopy is a safer and more effective method for treating intrahepatic bile duct stones.Copyright © 2023 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 3 区 胃肠肝病学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 胃肠肝病学
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出版当年[2021]版:
Q2 GASTROENTEROLOGY & HEPATOLOGY
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Q1 GASTROENTEROLOGY & HEPATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Department of Hepatobiliary Pancreatic Hernia Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xingang Road, Guangzhou 510317, Guangdong, People’s Republic of China [2]Guangdong Second Provincial General Hospital, School of Medicine, Jinan University, Guangzhou 510310, Guangdong, People’s Republic of China [3]Department of the First Surgical Ward of Minhang Campus, Guangdong Second Provincial General Hospital, 290 Middle Airport Road, Guangzhou 510422, Guangdong, People’s Republic of China
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通讯机构: [1]Department of Hepatobiliary Pancreatic Hernia Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xingang Road, Guangzhou 510317, Guangdong, People’s Republic of China [3]Department of the First Surgical Ward of Minhang Campus, Guangdong Second Provincial General Hospital, 290 Middle Airport Road, Guangzhou 510422, Guangdong, People’s Republic of China [4]Department of General Management of Minhang Campus, Guangdong Second Provincial General Hospital, 290 Middle Airport Road, Guangzhou 510422, Guangdong, People’s Republic of China [*1]Guangdong Second Provincial General Hospital, 466 Middle Xingang Road, Guangzhou 510317, Guangdong, People’s Republic of China
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