Single-step treatment of gallbladder and bile duct stones: A combined endoscopic-laparoscopic technique
| Autor: | Giuseppe Iodice, Giovanni Angelone, Giampaolo Tramontano, Giampiero Francica, Gennaro Sarrantonio, Cristiano Giardiello, Stefano Cristiano, Raffaele Finelli |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Gallstones Sensitivity and Specificity Sphincterotomy Endoscopic Cholelithiasis medicine Humans Radiology Nuclear Medicine and imaging Laparoscopy Aged Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Bile duct business.industry Gallbladder Gastroenterology Middle Aged Combined Modality Therapy Surgery Endoscopy Major duodenal papilla medicine.anatomical_structure Treatment Outcome Cholecystectomy Laparoscopic Cystic duct Cholecystectomy Female business Follow-Up Studies |
| Zdroj: | Gastrointestinal Endoscopy. 53:0336-0338 |
| ISSN: | 0016-5107 |
| DOI: | 10.1067/mge.2001.112193 |
| Popis: | Background: The introduction of laparoscopic cholecystectomy has given rise to a debate as to whether endoscopic retrograde cholangiopancreatography (ERCP) should be performed before or after cholecystectomy in patients with bile duct stones. Methods: This study evaluated the efficacy of treatment of cholecystocholedocholithiasis in a single step by performing ERCP during surgery in 52 patients (35 women, 17 men; mean age 57.0 years; age range 20 to 89 years). Laparoscopic intraoperative cholangiography via the cystic duct was carried out to confirm the presence of duct stones. A soft-tipped guidewire was passed through the cystic duct and papilla into the duodenum. A papillotome was inserted endoscopically over the guidewire. Endoscopic sphincterectomy was performed and the stones removed with balloon and basket catheters. Results: Endoscopic stone removal was successful in 94% of cases without complications related to ERCP or surgery. Although operative time was lengthened by about 20 minutes, the hospital stay was as short and equal to that for simple laparoscopic cholecystectomy (3 days on average). Conclusions: The single-step combined endoscopic-laparoscopic technique is safe and effective for treatment of patients with gallbladder and bile duct stones. (Gastrointest Endosc 2001;53:336-8.) |
| Databáze: | OpenAIRE |
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