ERCP and laparoscopic cholecystectomy in a combined (one-step) procedure with a novel technique
نویسنده
چکیده
Methods A retrospective review of 25 geriatric patients was conducted one-step procedure with positionament of loop in jejunum for reductions a little bowel distenction. In 24 of the patients, the one-step technique was successful (96 %); in the remaining 1 patient (4%), conversion open technique was necessary; in this case not positionament of loop in jejunum. We define the one-step procedure to be a laparoscopic cholecystectomy whit IOC to confirm the presence of stone, to be a gold standard; intraoperative ERCP whit stone extraction was conected if necessary as part of the one-step procedure.
منابع مشابه
A rare case of hepatic subcapsular biloma after laparoscopic Cholecystectomy and subsequent endoscopic retrograde cholangiopancreatography
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متن کاملBiliary pancreatitis: the era of laparoscopic cholecystectomy.
OBJECTIVE To evaluate the efficacy and safety of a combined approach to the treatment of biliary pancreatitis using laparoscopic cholecystectomy and selective endoscopic retrograde cholangiopancreatography (ERCP). DESIGN Consecutive case series. SETTING Tertiary care center. PATIENTS All patients undergoing primary operations for biliary pancreatitis during 2 time periods were included. I...
متن کاملگزارش 100 مورد لاپارسکوپی
100 patients (93 females and 7 males) in ages ranging between 23 and 65 years were subjected to laparoscopic cholecystectomy for biliary colic (92 pts), acute cholecystitis (7 pts) or asymptomatic gallstones (1 pt). None had a history of icterus and in every case choledocholithiasis was excluded by means of serum alkaline phosphatase assessment and sonography (In addition to ERCP in 3 pts). 3 o...
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Background Endoscopic retrograde cholangiopancreatography (ERCP), followed by laparoscopic cholecystectomy (LC), remains the standard way of management for patients with cholecystocholedocholithiasis. Laparoendoscopic rendezvous (LERV), a combined procedure for removing the gallbladder laparoscopically and clearing the common bile duct (CBD) endoscopically at the same time, could be an attracti...
متن کاملRecurrent Choledocholethiasis After Billroth II Gastrectomy: A Combined Endoscopic-Laparoscopic Technique
Background and Objective: After gastrectomy, the incidence of cholelithiasis formation increases. However, as a result of adhesions and reversed anatomy, either the surgery or the endoscopy is technically difficult. The aim of this article was to evaluate whether a combined endoscopic-laparoscopic “rendezvous” technique is effective in eliminating choledocholithiasis after Billroth II gastrecto...
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عنوان ژورنال:
دوره 13 شماره
صفحات -
تاریخ انتشار 2013