{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:32:54Z","timestamp":1792290774874,"version":"4.4.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T00:00:00Z","timestamp":1752364800000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Choledocholithiasis is traditionally managed via a two-stage approach involving endoscopic retrograde cholangiopancreatography followed by laparoscopic cholecystectomy. However, this method carries significant morbidity and logistical challenges. We report a case of a 70-year-old woman with symptomatic choledocholithiasis and mild pancreatitis successfully treated with a single-stage laparoscopic cholecystectomy and transcystic bile duct exploration using the SpyGlass DS II system. This technique enabled direct stone visualization, electrohydraulic lithotripsy, and successful ductal clearance without the need for choledochotomy or papillary trauma. The patient experienced an uneventful recovery, resuming oral intake within 6\u00a0hours and being discharged within 36\u00a0hours postoperatively. SpyGlass-assisted transcystic exploration offers important advantages over endoscopic retrograde cholangiopancreatography, including reduced complication rates, shorter hospital stays, and cost-effectiveness in experienced centers. This case supports the integration of SpyGlass technology into surgical algorithms for choledocholithiasis management, especially in high-risk or anatomically challenging patients. Further studies are warranted to confirm its role in broader clinical practice.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf495","type":"journal-article","created":{"date-parts":[[2025,7,13]],"date-time":"2025-07-13T21:22:20Z","timestamp":1752441740000},"source":"Crossref","is-referenced-by-count":1,"title":["Transcystic biliary tract exploration during single-stage treatment for cholecystitis\/symptomatic cholelithiasis plus choledocholithiasis using the SpyGlass system: a favorable therapeutic proposal"],"prefix":"10.1093","volume":"2025","author":[{"given":"M\u00e1ximo Vicente","family":"Torres Guaicha","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Central University of Ecuador , Quito, 170521 ,","place":["Ecuador"]},{"name":"Department of Surgery , Division of General Surgery, , Av. Mariana de Jes\u00fas Oe 7\/47, Quito,170521 ,","place":["Ecuador"]},{"name":"Hospital Metropolitano , Division of General Surgery, , Av. Mariana de Jes\u00fas Oe 7\/47, Quito,170521 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00e1bata Lissette","family":"Tinoco Ortiz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nueva Cl\u00ednica Internacional, Fundaci\u00f3n Obesidad Ecuador , Quito, 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Borja Villacres","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica del Ecuador , Quito, 170525 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Troya","sequence":"additional","affiliation":[{"name":"Department of Surgery, Nueva Cl\u00ednica Internacional , Quito, 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8040-4379","authenticated-orcid":false,"given":"Santiago Andr\u00e9s","family":"Mu\u00f1oz-Palomeque","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital Metropolitano , Quito, 170508 \u00a0","place":["Ecuador"]},{"name":"Faculty of Medical, Health and Life Sciences, Universidad Internacional del Ecuador , Quito, 170411 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,13]]},"reference":[{"key":"2025071317221516300_ref1","doi-asserted-by":"publisher","first-page":"1586","DOI":"10.1016\/j.cgh.2024.01.051","article-title":"Global epidemiology of gallstones in the 21st century: a systematic review and meta-analysis","volume":"22","author":"Wang","year":"2024","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025071317221516300_ref2","doi-asserted-by":"publisher","first-page":"172","DOI":"10.5009\/gnl.2012.6.2.172","article-title":"Epidemiology of gallbladder disease: cholelithiasis and 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cholangioscopy in the diagnosis of indeterminate biliary strictures by targeted biopsies: a systematic review and meta-analysis","volume":"10","author":"Wen","year":"2020","journal-title":"Diagnostics (Basel)"},{"key":"2025071317221516300_ref11","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1055\/a-0818-3638","article-title":"A cumulative meta-analysis of endoscopic papillary balloon dilation versus endoscopic sphincterotomy for removal of common bile duct stones","volume":"51","author":"Tringali","year":"2019","journal-title":"Endoscopy"},{"key":"2025071317221516300_ref12","doi-asserted-by":"publisher","first-page":"538","DOI":"10.11622\/smedj.2018158","article-title":"Safety and efficacy of SpyGlass cholangiopancreatoscopy in routine clinical practice in a regional Singapore hospital","volume":"60","author":"Ang","year":"2019","journal-title":"Singapore Med J"}],"container-title":["Journal of Surgical Case 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