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Sequential endoscopic and laparoscopic and one-step treatment of cholecysto-choledochal calculosis. new perspectives for the surgeon

Tenchini, P.; Ventura, P.; Tamburini, A.; Berta, V.; Majno, A.; Francia, L.; Pulica, C.

Il Giornale di Chirurgia 18(10): 741-744

1997

ISSN/ISBN: 0391-9005
PMID: 9480000
Document Number: 481008
The Authors describe 132 cases of sequential treatment of cholecysto-choledochal lithiasis by videolaparoscopic cholecystectomy after endoscopic Common Bile Duct (CBD) clearance and 3 endoscopic sphincterectomy and CBD stone extraction during laparoscopic cholecystectomy. No complications occurred during the procedure. Even though the second one is not a routine method undoubtedly represents the best solution when the surgeon meets an unexpected choledocholithiasis. However, laparoscopic CBD exploration requires a good experience of the surgeon and currently there are not sufficient data to support this procedure.

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