Choledocholithiasis and endo-laparoscopic rendezvous. Analysis of 59 consecutive cases

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Paolo Del Rio
Paolo Dell’Abate
Domenico Labonia
Marco Negri
Nicoletta Sianesi
Maria Francesca Arcuri
Mario Sianesi

Abstract

BACKGROUND: Choledocholithiasis is a real problem of major clinical importance. The incidence of cholelithiasis is 10-20%.


MATERIALS: We have examined 2907 patients treated with videolaparoscopic cholecystectomy (VLC) between January 2001 and September 2009. 214 cases (7.4%) were affected by choledocolithiasis; among these, 59 consecutive cases were treated by rendezvous, 151 cases by sequential treatment (ERCP-ES before VLC), 3 cases by extraction with Dormia’s basket, and 1 case by ERCP-ES after VLC.


RESULTS: The complications were one biliary fistula and three hemorrhages (one from the cystic artery, one from the hepatic area and one from trocar’s site). The mean hospital stay was 1.38±0.83 days for the rendezvous group vs 4.


53±0.74 days in the sequential treatment group (p<0.004). The satisfaction scores were 6.6±1.39 versus 5.7±0.96 (p<0.004).


CONCLUSIONS: The rendezvous procedure reduces hospital stay and has a greater compliance (only one treatment). We can use this option in the management of cases where preoperative ERCP-ES has failed.

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How to Cite
Del Rio, Paolo, et al. “Choledocholithiasis and Endo-Laparoscopic Rendezvous. Analysis of 59 Consecutive Cases”. Annali Italiani Di Chirurgia, vol. 82, no. 3, May 2011, pp. 221-4, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1320.
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