{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T07:41:55Z","timestamp":1765438915504},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Science and Technology Plan Medical and Health Projects of Zhuhai","award":["ZH22036201210048PWC"],"award-info":[{"award-number":["ZH22036201210048PWC"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>As a minimally invasive treatment for common bile duct (CBD) stones, ultrasound\u2010guided percutaneous transhepatic cholangioscopic lithotripsy (PTCSL) is gaining attention and recognition from the medical community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted on patients with CBD stones treated in our hospital from January 2016 to April 2022. Patients were divided into three groups: 77 treated with PTCSL, 93 with endoscopic retrograde cholangiopancreatography (ERCP), and 103 with laparoscopic common bile duct exploration (LCBDE). Their clinical data, perioperative indicators, and complications were analyzed comparatively. Then, risk factors for the post\u2010PTCSL recurrence of CBD stones were analyzed by logistic regressions. Finally, the receiver operating characteristic curve was drawn.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All perioperative indicators of the PTCSL group were better than the LCBDE group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The incidences of cholangitis, hemobilia, and incisional infection after surgery were lower in the PTCSL group than in the LCBDE group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Pancreatitis, reflux esophagitis, and papillary stenosis occurred less frequently in the PTCSL group than in the ERCP group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Logistic regression analysis indicated that gallstones and family history were independent risk factors. The AUC for recurrent CBD stones predicted by multi\u2010indicators was 0.895 (95% CI 0.792\u20130.999, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) with a sensitivity of 96.7% and specificity of 68.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ultrasound\u2010guided PTCSL is a safe and effective treatment for CBD stones. Patients recovered quickly with fewer postoperative complications. It can be a first\u2010line treatment for CBD stones. Gallstones and family history are independent risk factors for recurrent CBD stones, which provide a reference for clinicians in identifying the high\u2010risk population needing close follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07217-9","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T15:02:41Z","timestamp":1697036561000},"page":"3338-3347","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Ultrasound\u2010Guided Percutaneous Transhepatic Cholangioscopic Lithotripsy for the Treatment of Common Bile Duct Stones and Analysis of Risk Factors for Recurrence"],"prefix":"10.1002","volume":"47","author":[{"given":"Ziqing","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalin","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaopeng","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Ultrasound The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shushan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunyan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuhong","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaobo","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wuzhu","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Fifth Affiliated Hospital of Sun Yat\u2010Sen University Meihua Dong Road, No. 52 519000 Zhuhai Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.7150\/ijms.52974"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v27.i28.4536"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20100862\u20100346"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16211"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50132"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010018\u201006613\u2010w"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2152\/jmi.64.245"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.16940"},{"key":"e_1_2_11_10_1","unstructured":"LinW ChenM LiB WangW LiS LyuG. 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This study was conducted in accordance with the current version of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Fifth Affiliated Hospital of Sun Yat-sen University (Date: June 2nd, 2022 \/No. K84-1).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all patients. No link between the patients and the researchers was made available to avert any potential breach of confidentiality.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Written informed consent was obtained from all subjects (patients) in this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}