The EAES Clinical Practice Guidelines on Diagnosis and Treatment of Common Bile Duct Stones (1998)

Paul, Andreas; Millat, Bertrand; Holthausen, U.; Sauerland, Stefan; Neugebauer, Edmund; Berthou, J.; Brambs, H.-J.; Domínguez‐Muñoz, J. Enrique; Goh, P. M. Y.; Hammerström, L.E.; Lezoche, Emanuele; Périssat, J; Rossi, Paolo; Rothlin, M; Russell, R. C. G.; Spinelli, P; Tekant, Yaman

doi:10.1007/978-3-540-32784-4_15

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“…In both the 1999 and 2006 guidelines published by the EAES [63,64], the suggestions concerning the best treatment for combined cholecystocholedocholithiasis were extremely uncertain, as reflected in the conclusions of the 18 panelists in 1998 [63], ''There is no standard treatment today,'' and in 2006, ''The best therapeutic strategies remain uncertain'' [64]. The combined laparoendoscopic RV approach was only mentioned in 2006 as follows: ''Most frequently, the also minimally invasive treatment option combining laparoscopy and conventional interventional endoscopy is applied, …'' and ''possible reasons are that laparoscopic CBD surgery requires demanding technical skills'' … and ''therefore an interdisciplinary team approach is important … and success depends on the strength of the team'' [64].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis

Barbagallo

Miceli

et al. 2009

Surg Endosc

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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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Section: Discussionmentioning

confidence: 99%