Surgery in biliary lithiasis: from the traditional “open” approach to laparoscopy and the“rendezvous” technique

BACKGROUND: According to the current literature, biliary lithiasis is a worldwide-diffused condition that affects almost20% of the general population. The rate of common bile duct stones (CBDS) in patients with symptomatic cholelithiasis is estimated to be 10% to 33%, depending on patient’s age.Comp...

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Bibliographic Details
Published in:Hepatobiliary & pancreatic diseases international 2017-12, Vol.16 (6), p.595-601
Main Authors: Tarantino, Giuseppe, Magistri, Paolo, Ballarin, Roberto, Assirati, Giacomo, Di Cataldo, Antonio, Di Benedetto, Fabrizio
Format: Article
Language:English
Subjects:
bile duct stones
Bile Ducts - diagnostic imaging
Bile Ducts - surgery
biliary
biliary obstruction
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cholangiopancreatography, Endoscopic Retrograde - methods
cholangiopancreatography
laparoscopic
cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - methods
Cholelithiasis - diagnostic imaging
Cholelithiasis - surgery
Cholestasis - diagnostic imaging
Cholestasis - surgery
Clinical Decision-Making
duct
endoscopic retrograde cholangiopancreatography
gallstones
Humans
laparoscopic cholecystectomy
obstruction
bile
Postoperative Complications
Practice Patterns, Physicians
retrograde
Sphincterotomy, Endoscopic
stones
gallstones
endoscopic
Treatment Outcome
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Summary:BACKGROUND: According to the current literature, biliary lithiasis is a worldwide-diffused condition that affects almost20% of the general population. The rate of common bile duct stones (CBDS) in patients with symptomatic cholelithiasis is estimated to be 10% to 33%, depending on patient’s age.Compared to stones in the gallbladder, the natural history of secondary CBDS is still not completely understood. It is notclear whether an asymptomatic choledocholithiasis requires treatment or not. For many years, open cholecystectomy with choledochotomy and/or surgical sphincterotomy and cleaning of the bile duct were the gold standard to treat both pathologies. Development of both endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic surgery,together with improvements in diagnostic procedures, influenced new approaches to the management of CBDS in association with gallstones.DATA SOURCES: We decided to systematically review the literature in order to identify all the current therapeutic options for CBDS. A systematic literature search was performed independently by two authors using PubMed, EMBASE, Scopus and the Cochrane Library Central.
ISSN:1499-3872
DOI:10.1016/S1499-3872(17)60031-6