medigraphic.com
SPANISH

Cirujano General

ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2017, Number 1

<< Back Next >>

Cir Gen 2017; 39 (1)

Laparoscopic cholecystectomy �rendezvous� as a treatment for cholecystocholedocholithiasis. A series of cases

Torres CJR, Torres LE, Rebollar GR
Full text How to cite this article 10.35366/74559

DOI

DOI: 10.35366/74559
URL: https://dx.doi.org/10.35366/74559

Language: Spanish
References: 16
Page: 26-32
PDF size: 269.84 Kb.


Key words:

Choledocholithiasis, rendezvous, laparoendoscopic, common bile duct stones, endoscopic retrograde cholangiopancreatography, laparoendoscopic rendezvous, laparoscopic cholecystectomy.

ABSTRACT

The prevalence of lithiasic cholecystitis in Mexico is estimated on 20% of the population; of them, up to 18% may present lithiasis in the bile duct. Objective: To report a series of cases with cholecistocholedocholithiasis resolved by a laparoendoscopic procedure. Material and methods: Retrospective data collection of the clinical records of patients treated with the laparoendoscopic rendezvous technique in a private hospital in Mexico City from January 2012 to January 2014. Results: The procedure was performed in a total of 22 patients; the mean time of accomplishment was 99.7 minutes; the success rate was 100%, with no complications present. Discussion: This study proposes a highly effective laparoendoscopic treatment for choledocholithiasis, which is carried out in a single surgical procedure, with a lower risk of complications and a more controlled technique. Conclusions: Endoscopic-laparoscopic or rendezvous treatment for the resolution of choledocholithiasis during the same surgical procedure is easier, has less technical difficulty, and is easily reproducible.


REFERENCES

  1. Dasari BV, Tan CJ, Gurusamy KS, Martin DJ, Kirk G, McKie L, et al. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. 2013; CD003327.

  2. Rebollar GR, Antonio MM. Coledocolitiasis y colangitis. En: Rebollar GR. Manual de cirug�a general del Hospital Ju�rez de M�xico. M�xico: Universum; 2014. pp. 139-146.

  3. Ding YB, Deng B, Liu XN, Wu J, Xiao WM, Wang YZ, et al. Synchronous vs sequential laparoscopic cholecystectomy for cholecystocholedocholithiasis. World J Gastroenterol. 2013; 19: 2080-2086.

  4. ElGeidie AA, ElEbidy GK, Naeem YM. Preoperative versus intraoperative endoscopic sphincterotomy for management of common bile duct stones. Surg Endosc. 2011; 25: 1230-1237.

  5. Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. 2006; CD003327.

  6. Moon JH, Cho YD, Cha SW, Cheon YK, Ahn HC, Kim YS, et al. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Am J Gastroenterol. 2005; 100: 1051-1057.

  7. Li B, Li X, Zhou WC, He MY, Meng WB, Zhang L, et al. Effect of endoscopic retrograde cholangiopancreatography combined with laparoscopy and choledochoscopy on the treatment of Mirizzi syndrome. Chin Med J (Engl). 2013; 126: 3515-3518.

  8. Kubiliun NM, Elmunzer BJ. Preventing pancreatitis after endoscopic retrograde cholangiopancreatography. Gastrointest Endosc Clin N Am. 2013; 23: 769-786.

  9. Kroh M, Chand B. Choledocholithiasis, endoscopic retrograde cholangiopancreatography, and laparoscopic common bile duct exploration. Surg Clin North Am. 2008; 88: 1019-1031, vii.

  10. Orenstein SB, Marks JM, Hardacre JM. Technical aspects of bile duct evaluation and exploration. Surg Clin North Am. 2014; 94: 281-296.

  11. El-Geidie AA. Laparoendoscopic management of concomitant gallbladder stones and common bile duct stones: what is the best technique? Surg Laparosc Endosc Percutan Tech. 2011; 21: 282-287.

  12. Jakobsen HL, Vilmann P, Rosenberg J. Endoscopic sphincterotomy for common bile duct stones during laparoscopic cholecystectomy is safe and effective. Surg Laparosc Endosc Percutan Tech. 2011; 21: 450-452.

  13. Al-Jiffry BO, Elfateh A, Chundrigar T, Othman B, Almalki O, Rayza F, et al. Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver function. World J Gastroenterol. 2013; 19: 5877-5882.

  14. Yang MH, Chen TH, Wang SE, Tsai YF, Su CH, Wu CW, et al. Biochemical predictors for absence of common bile duct stones in patients undergoing laparoscopic cholecystectomy. Surg Endosc. 2008; 22: 1620-1624.

  15. Sommer A, Burlefinger R, Bayerd�rffer E, Ottenjann R. Internal biliary drainage in the �rendezvous� procedure. Combined transhepatic endoscopic retrograde methods. Dtsch Med Wochenschr. 1987; 112: 747-751.

  16. Baloyiannis I, Tzovaras G. Current status of laparoendoscopic rendezvous in the treatment of cholelithiasis with concomitant choledocholithiasis. World J Gastrointest Endosc. 2015; 7: 714-719.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Cir Gen. 2017;39
OSZAR »