Abstract
The treatment of cholecysto-choledocholithiasis is recently changed from laparotomic common bile duct (CBD) exploration and cholecystectomy to combined method with endoscopic sphincterotomy and laparotomic, then laparoscopic, cholecystectomy. Finally, some authors, proposed different procedures to perform laparoscopic CBD exploration, but currently this is an unroutinary approach because of sophisticated instruments and a good experience of the surgeon are necessary. Undoubtedly for the patient a once and for all solution is the best. For this reason, in our hospital, the endoscopic and surgery teams defined one organizing project (presented to an award of quality improvement called 'Golden Helix Award' 1995 edition) to evaluate the clinical and organizing aspects of endoscopic sphincterotomy and CBD stones extraction performed during laparoscopic cholecystectomy. During one year of experience (from January 1994 to January 1995) 7 cases are enrolled (5 F and 2 M) with anesthesiological risk middle-low, treated all successfully. Only one case had residual stone and underwent 'endoscopic toilette' post-cholecystectomy and one intraoperative hemorrhage from pericholecystic hepatic area, which 2 blood transfusions required. The average length of the procedure was 198 minutes and the average of hospital stay post-surgery was 6.5 days.
| Original language | Italian |
|---|---|
| Pages (from-to) | 107-111 |
| Number of pages | 5 |
| Journal | Giornale Italiano di Endoscopia Digestiva |
| Volume | 19 |
| Issue number | 2 |
| Publication status | Published - 1996 |
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ASJC Scopus subject areas
- Gastroenterology
Cite this
Trattamento della cacolosi colecisto-coledocica in tempo unico. / Conigliaro, R.; Ricci, E.; Mortilla, M. G.; Sassatelli, R.; Bertoni, G.; Bedogni, G.; Della Valle, E.; Bigi, L.; Bonacini, S.; Sgarbi, G.; Annessi, V.; Ferrari, G.
In: Giornale Italiano di Endoscopia Digestiva, Vol. 19, No. 2, 1996, p. 107-111.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trattamento della cacolosi colecisto-coledocica in tempo unico
AU - Conigliaro, R.
AU - Ricci, E.
AU - Mortilla, M. G.
AU - Sassatelli, R.
AU - Bertoni, G.
AU - Bedogni, G.
AU - Della Valle, E.
AU - Bigi, L.
AU - Bonacini, S.
AU - Sgarbi, G.
AU - Annessi, V.
AU - Ferrari, G.
PY - 1996
Y1 - 1996
N2 - The treatment of cholecysto-choledocholithiasis is recently changed from laparotomic common bile duct (CBD) exploration and cholecystectomy to combined method with endoscopic sphincterotomy and laparotomic, then laparoscopic, cholecystectomy. Finally, some authors, proposed different procedures to perform laparoscopic CBD exploration, but currently this is an unroutinary approach because of sophisticated instruments and a good experience of the surgeon are necessary. Undoubtedly for the patient a once and for all solution is the best. For this reason, in our hospital, the endoscopic and surgery teams defined one organizing project (presented to an award of quality improvement called 'Golden Helix Award' 1995 edition) to evaluate the clinical and organizing aspects of endoscopic sphincterotomy and CBD stones extraction performed during laparoscopic cholecystectomy. During one year of experience (from January 1994 to January 1995) 7 cases are enrolled (5 F and 2 M) with anesthesiological risk middle-low, treated all successfully. Only one case had residual stone and underwent 'endoscopic toilette' post-cholecystectomy and one intraoperative hemorrhage from pericholecystic hepatic area, which 2 blood transfusions required. The average length of the procedure was 198 minutes and the average of hospital stay post-surgery was 6.5 days.
AB - The treatment of cholecysto-choledocholithiasis is recently changed from laparotomic common bile duct (CBD) exploration and cholecystectomy to combined method with endoscopic sphincterotomy and laparotomic, then laparoscopic, cholecystectomy. Finally, some authors, proposed different procedures to perform laparoscopic CBD exploration, but currently this is an unroutinary approach because of sophisticated instruments and a good experience of the surgeon are necessary. Undoubtedly for the patient a once and for all solution is the best. For this reason, in our hospital, the endoscopic and surgery teams defined one organizing project (presented to an award of quality improvement called 'Golden Helix Award' 1995 edition) to evaluate the clinical and organizing aspects of endoscopic sphincterotomy and CBD stones extraction performed during laparoscopic cholecystectomy. During one year of experience (from January 1994 to January 1995) 7 cases are enrolled (5 F and 2 M) with anesthesiological risk middle-low, treated all successfully. Only one case had residual stone and underwent 'endoscopic toilette' post-cholecystectomy and one intraoperative hemorrhage from pericholecystic hepatic area, which 2 blood transfusions required. The average length of the procedure was 198 minutes and the average of hospital stay post-surgery was 6.5 days.
KW - choledocholithiasis
KW - cholelithiasis
KW - endoscopic intraoperative sphincterotomy
KW - laparoscopic cholecystectomy
UR - http://www.scopus.com/inward/record.url?scp=0029899349&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029899349&partnerID=8YFLogxK
M3 - Articolo
AN - SCOPUS:0029899349
VL - 19
SP - 107
EP - 111
JO - Giornale Italiano di Endoscopia Digestiva
JF - Giornale Italiano di Endoscopia Digestiva
SN - 0394-0225
IS - 2
ER -