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Surgical Endoscopy

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01-04-2010 | Review

Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis

Authors: Gaetano La Greca, Francesco Barbagallo, Maria Sofia, Saverio Latteri, Domenico Russello

Published in: Surgical Endoscopy | Issue 4/2010

Abstract

Background

Different approaches are available for the treatment of combined cholecystocholedocholithiasis including totally laparoscopic (TL) treatment, simultaneous laparoendoscopic treatment, and sequential treatments (ST) combining endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (ES) with cholecystectomy. This review aimed to clarify the issue of the simultaneous laparoendoscopic rendezvous (RV).

Methods

A careful analysis of papers was performed to determine the results, technical differences, limits, disadvantages, and advantages of RV compared with other options.

Results

Data were collected from 27 papers concerning 795 patients. The overall effectiveness of RV was 92.3%. The morbidity rate was 5.1%, and the mortality rate was 0.37%. Almost all the authors were satisfied with the procedure. The authors’ comparison to ST and TL showed that the advantages outweigh the disadvantages mostly related to logistical problems.

Conclusions

There is confusion concerning the definitions and techniques of RV due to differences in combining surgical and endoscopic steps of the procedure. The results are at least comparable with those of the other available approaches. The effectiveness of RV is greater with reciprocal implementation of surgical and endoscopic procedures. The morbidity and the risk of iatrogenic damage seem lower than with ERCP-ES and the risk of residual stones lower than with TL treatment. The RV procedure is safe and can sometimes be the preferable option, but collaboration between surgeon and endoscopist is mandatory.

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Title: Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis
Authors: Gaetano La Greca
Francesco Barbagallo
Maria Sofia
Saverio Latteri
Domenico Russello
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 4/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-009-0680-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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