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. 2021 Nov 21;2(1):e67.
doi: 10.1002/deo2.67. eCollection 2022 Apr.

The feasibility of disposable video-bronchoscopes, Ambu aScope3, for exploration of the common bile duct and extraction of stones

Sujala N R Kalipershad  1 , Daren A Subar  2 , Ravindra S Date  1   3
Affiliations

The feasibility of disposable video-bronchoscopes, Ambu aScope3, for exploration of the common bile duct and extraction of stones

Sujala N R Kalipershad et al. DEN Open. .

Abstract

Introduction: The aim of this study was to assess and evaluate the feasibility of using the Ambu aScope3 (aScope) for common bile duct (CBD) explorations, stone detection and extraction, as well as to assess feasibility of its use through the laparoscopic ports in a low-volume centre.

Methods: This is a dual centre prospective study, conducted between February 2015 and August 2019, of patients undergoing laparoscopic cholecystectomy and common bile duct exploration. Ethical approval was obtained from the North West - Greater Manchester South Research Ethics Committee. All patients were counselled on the use of the aScope in clinic, prior to surgery. The Primary endpoints were the ability of the aScope to identify CBD stones, perform a cholangiogram through the available channel, retrieve the stones using a Dormia basket and to visualise second generation biliary radicles satisfactorily. The secondary endpoint was the use of the aScope, via a laparoscopic port without a gas leak. The data collected included patient demographics, need for a CBD exploration, intraoperative confirmation of CBD stones and their safe extraction using an aScope.

Results: A total of nine patients were recruited. The aScope provided satisfactory views in eight of nine patients and enabled the safe extraction of CBD stones in six of nine cases. One patient had a bile leak, and another had a transected CBD prior to the use of the aScope.

Conclusion: We found that the aScope is a safe, feasible alternative to a choledochoscope, and in a low-volume centre, it provides a financially viable option.

Keywords: Ambu aScope; choledochoscopy; common bile duct exploration; common bile duct stones; stone extraction.

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Conflict of interest statement

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

Figures

FIGURE 1
FIGURE 1
Ambu aScope 3
FIGURE 2
FIGURE 2
A view monitor to be used with the aScope
FIGURE 3
FIGURE 3
Lower end of the common bile duct with previously inserted pig tail catheter
FIGURE 4
FIGURE 4
Right and left hepatic duct opening
See this image and copyright information in PMC

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