A Catheter-Guided Rendezvous Technique to Perform Endoscopic Retrograde Cholangiopancreatography in Patients With High-Risk Choledocholithiasis

We describe a variation of the rendezvous technique for choledocholithiasis using a peripherally inserted central catheter (PICC) instead of a guidewire. Three patients (aged 47-84 years) with bile duct stones underwent this approach during laparoscopic cholecystectomy at a tertiary center. Biliary cannulation and complete stone removal were successful in all cases, with no intraoperative or postoperative complications. The average hospital stay was 3 days. This technique appears feasible, although larger studies are needed to confirm its efficacy, safety, and potential cost-effectiveness.