One-stage lapro-endoscopic procedure in the management of concomitant gallbladder and common bile duct stones: institutional experience
Keywords:Common bile duct stones, Gall bladder, Rendezvous technique
Background: Still there is no standard technique for managing patients with concomitant gallbladder (GB) and common bile duct stones (CBDS). In this work, we report our experience of the management for gallstone disease and biliary duct calculi as a single stage treatment.
Methods: Forty Patients with symptomatic gall bladder calcular disease and suspected CBDS were enrolled in the study. The outcome measures were operating time, CBD stone clearance, postoperative morbidity and mortality, the need to conversion to other techniques and hospital stay.
Results: They were 13 males and 27 females of median age 43 years old. Intra opertative cholangiography (IOC) revealed single CBD stone in twenty-eight, two stones in eleven and three stones in only one of the patients. The mean operating time had been 175 min. There were no intraoperative complications with a mean hospital stay was 1.8 days (range, 1-4 days).
Conclusions: One-stage lapro-endoscopic procedure in the management for gallstone disease and biliary duct calculi is safe and efficient in CBD stone clearance. It is preferred when facilities and experience in endoscopic therapy exist.
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