Selective operative cholangiography and Perioperative endoscopic retrograde cholangiopancreatography (ERCP) during laparoscopic cholecystectomy: a viable option for choledocholithiasis

Surgical Endoscopy
G L Williams, K D Vellacott

Abstract

Most common bile duct (CBD) stones can now be removed by minimally invasive methods using pre- or postoperative endoscopic sphincterotomy. A few centers explore the bile duct laparoscopically, but not every hospital has access to the equipment for magnetic resonance (MR) cholangiopancreatography to diagnose ductal stones. This study shows the results of an alternative management option. We did a retrospective review of perioperative endoscopic retrograde cholangiopancreatographies (ERCPs) and sphincterotomies that were performed on patients in whom choledocholithiasis had been revealed on operative cholangiogram. Thirteen patients underwent perioperative ERCP. Nine had successful duct clearance, three had failure to cannulate, and one was converted to an open procedure due to an anatomical problem. The combined median operating time for both procedures was 75 min and hospital stay was 2.5 days. No pancreatitis was reported. Selective operative cholangiography and perioperative ERCP during laparoscopic cholecystectomy is a viable option for the simultaneous management of CBD and gallbladder stones. Moreover, it helps to avoid unnecessary normal ERCP.

Citations

Oct 12, 2012·Surgical Endoscopy·Alberto ArezzoMario Morino
Jul 14, 2012·World Journal of Gastroenterology : WJG·Jiong LuNan-Sheng Cheng
Apr 20, 2013·World Journal of Gastroenterology : WJG·Yan-Bing DingZe-Sheng Ju
Sep 5, 2009·Surgical Endoscopy·Gaetano La GrecaDomenico Russello
Nov 1, 2016·Expert Review of Gastroenterology & Hepatology·Hong-Tian XiaJia-Hong Dong
Jun 2, 2009·International Journal of Surgery·Abdel Hamid GhazalHassan El-Bahrawy
Jun 3, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Moiz M ZeidanAbdalla E Zarroug
Dec 24, 2011·World Journal of Gastrointestinal Endoscopy·Luis R RábagoElvira Quintanilla
Jan 22, 2015·World Journal of Gastroenterology : WJG·Ayman El NakeebGamal El Ebidy

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