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Abstract

Since the advent of laparoscopic cholecystectomy, there has been a debate regarding the most effective approach to intraoperative management of choledocholithiasis. Although transcystic duct extraction has been effective, the integration of flexible endoscopic methodology into the laparoscopic procedure has facilitated management of difficult cases. Variations of endoscopic retrograde cholangiopancreatography may be used during laparoscopic cholecystectomy or facilitated after the surgery by maneuvers at the time of operation. These techniques have been extremely effective in facilitating the laparoscopic treatment of common bile duct stones. Copyright © 2001 by W.B. Saunders Company.

Keywords

Laparoscopic cholecystectomy choledocholithiasis.

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References

Cuschieri A. , Croce E. , Faggioni A. , et al: EAES ductal stone study. Preliminary findings of multi-center prospective randomized trial comparing two-stage vs single-stage management. Surg Endosc 10:1130-1135, 1996

Curet MJ , Pitcher DE , Martin DT , et al: Laparoscopic antegrade sphincterotomy. A new technique for the management of complex choledocholithiasis. Ann Surg 221: 149-155, 1995

Deslandres E. , Gagner M. , Pomp A. : Intraoperative endoscopic sphincterotomy for common bile duct stones during laproscopic cholecystectomy . Gastro Endosc 39:54-58, 1993

Ponsky JL , Heniford BT , Gersin K. : Choledocholithiasis: Evolving intraoperative strategies. Am Surg 3:262-268, 2000

Laparoendoscopic Approaches to Common Bile Duct Stones

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