Intraoperative ERCP for management of cholecystocholedocholithiasis

Elgeidie, Ahmed; Atif, Ehab; Ebidy, Gamal El

doi:10.1007/s00464-016-5036-1

Cited by 12 publications

(10 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was in contrary to 12% of studied patients in the study carried out by Stanley et al 11 In the study by Ding et al, the authors reported that LCBDE+LC stones had a lower recurrence rate. 10,11 As regard our series, the success rates of laparoscopic CBD exploration and ERCP for clearance of CBD were similar (Group A 96% vs. Group B 97.3%).…”

Section: Discussionsupporting

confidence: 52%

“…A study conducted by Elgeidie et al showed that pre-ERCP+LC was associated with a higher success rate of CBD stone clearance. 10 There was only one case suffered from retained common bile duct stones among patients belonged group A (4.5%). This was in contrary to 12% of studied patients in the study carried out by Stanley et al 11 In the study by Ding et al, the authors reported that LCBDE+LC stones had a lower recurrence rate.…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Two-stages using endoscopic retrograde cholangio-pancreatography procedures versus single stage laparoscopic management for concomitant gallstones and common bile duct stones

Aldardeer¹,

Redwaan²

2019

Int Surg J

View full text Add to dashboard Cite

Background: Laparoscopic common bile duct exploration (LECBD) has been proven to be a safe, reliable, and effective treatment for common bile duct (CBD) stones and has gained wider acceptance. Endoscopic retrograde cholangio-pancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) is safe and efficient method that has been usually used for the treatment of bile duct stones. The aim of this study is to compare the outcome of management of concomitant gallstones and common bile duct by two stage (ERCP+LC) versus one stage (LECBD+LC).Methods: This study included 150 patients with concomitant gallstones and CBD stones who were treated at sohag university hospital from July 2017 to December 2018. Results were statistically analysed.Results: The success rates of laparoscopic CBD exploration and ERCP for clearance of CBD were similar (Group A 96% vs. Group B 97.3%). The mean operative time was significantly longer in-group A (125.7±36.6 min) vs. in-group B (82.4±27.6 min), Group A as regard intraoperative complications (one patient had hemorrhage) vs. group B (2 patients hemorrhage during lap. cholecystectomy). As for conversion to other procedure 2 patients for group A vs. 3 patients for group B (conversion of LC to open).Conclusions: Single and two-stage management for uncomplicated concomitant gallbladder and CBD stones had similar success and complication rates, but the single stage strategy was better in terms of shorter hospital stay, need for fewer procedures, less morbidity, and allows earlier recovery with a reduced period of short-term disability.

show abstract

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 86%

Two-stages using endoscopic retrograde cholangio-pancreatography procedures versus single stage laparoscopic management for concomitant gallstones and common bile duct stones

Aldardeer¹,

Redwaan²

2019

Int Surg J

View full text Add to dashboard Cite

show abstract

“…Technical factors such as manipulation of and injection of contrast into the pancreatic duct, biliary balloon sphincter dilation and cannulation attempts lasting > 5 min, also increase the risk [33,35,36]. Intraoperative rendezvous ERCP is an effective and safe method to treat CBDS found at cholecystectomy and concomitant cholangiography [7][8][9][10][11][12][13][14]. The operative technique of laparo-endoscopic rendezvous is straight-forward and suitable for almost all patients with CBDS.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years intraoperative rendezvous endoscopic retrograde cholangiopancreaticography (ERCP) has been established as an alternative method to treat common bile and Other Interventional Techniques * Eva-Lena Syrén eva.lena.syren@akademiska.se duct stones discovered during laparoscopic cholecystectomy. This laparo-endoscopic rendezvous (LERV) technique was first described in 1993 by Deslandres et al [6] and has been shown to have a high rate of CBD stone clearance and a lower complication rate, particularly post-ERCP pancreatitis, compared to conventional ERCP [7][8][9][10][11][12][13][14][15]. This may be due to the facilitated access to the common bile duct with less manipulation and trauma to the papilla Vateri.…”

mentioning

confidence: 99%

Postoperative rendezvous endoscopic retrograde cholangiopancreaticography as an option in the management of choledocholithiasis

et al. 2019

View full text Add to dashboard Cite

Background Rendezvous endoscopic retrograde cholangiopancreaticography (ERCP) is a well-established method for treatment of choledocholithiasis. The primary aim of this study was to determine how different techniques for management of common bile duct stone (CBDS) clearance in patients undergoing cholecystectomy have changed over time at tertiary referral hospitals (TRH) and county/community hospitals (CH). The secondary aim was to see if postoperative rendezvous ERCP is a safe, effective and feasible alternative to intraoperative rendezvous ERCP in the management of CBDS. Methods Data were retrieved from the Swedish registry for cholecystectomy and ERCP (GallRiks) 2006-2016. All cholecystectomies, where CBDS were found at intraoperative cholangiography, and with complete 30-day follow-up (n = 10,386) were identified. Data concerning intraoperative and postoperative complications, readmission and reoperation within 30 days were retrieved for patients where intraoperative ERCP (n = 2290) and preparation for postoperative ERCP were performed (n = 2283). Results Intraoperative ERCP increased (7.5% 2006; 43.1% 2016) whereas preparation for postoperative ERCP decreased (21.2% 2006; 17.2% 2016) during 2006-2016. CBDS management differed between TRHs and CHs. Complications were higher in the postoperative rendezvous ERCP group: Odds Ratio [OR] 1.69 (95% confidence interval [CI] 1.16-2.45) for intraoperative complications and OR 1.50 (CI 1.29-1.75) for postoperative complications. Intraoperative bleeding OR 2.46 ), postoperative bile leakage OR 1.89 (CI 1.23-2.90) and postoperative infection with abscess OR 1.55 (CI 1.05-2.29) were higher in the postoperative group. Neither post-ERCP pancreatitis, postoperative bleeding, cholangitis, percutaneous drainage, antibiotic treatment, ICU stay, readmission/reoperation within 30 days nor 30-day mortality differed between groups. Conclusions Techniques for management of CBDS found at cholecystectomy have changed over time and differ between TRH and CH. Rendezvous ERCP is a safe and effective method. Even though intraoperative rendezvous ERCP is the preferred method, postoperative rendezvous ERCP constitutes an acceptable alternative where ERCP resources are lacking or limited.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

show abstract

“…For patients with both cholecystolithiasis and choledocholithiasis, ERCP followed by LC or LC followed by ERCP has been the common treatment in recent years [13][14][15]. However, this therapy is also associated with some drawbacks, such as long duration of the procedures (because there are two procedures), prolonged hospital stay, and considerable cost [6,14,16].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for choledocholithiasis concomitant with calculus of the left intrahepatic duct or abdominal adhesions

Wang

et al. 2017

Surg Endosc

View full text Add to dashboard Cite

show abstract

Intraoperative ERCP for management of cholecystocholedocholithiasis

Abstract: IOERCP during LC is a safe and effective option for management of CCL.

Cited by 12 publications

References 50 publications

Two-stages using endoscopic retrograde cholangio-pancreatography procedures versus single stage laparoscopic management for concomitant gallstones and common bile duct stones

Two-stages using endoscopic retrograde cholangio-pancreatography procedures versus single stage laparoscopic management for concomitant gallstones and common bile duct stones

Postoperative rendezvous endoscopic retrograde cholangiopancreaticography as an option in the management of choledocholithiasis

Laparoscopic surgery for choledocholithiasis concomitant with calculus of the left intrahepatic duct or abdominal adhesions

Contact Info

Product

Resources

About