Integrazione tra Endoscopia Operativa e chirurgia laparoscopica nel trattamento della calcolosi Colecisto-coledocica


COD: 2002_03_273-280-1 Categorie: ,

C. Sciumè, G. Geraci, F. Pisello, P. Leo, G. Modica

Ann. Ital. Chir., LXXIII, 3, 2002

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Laparoscopic cholecystectomy has become first choice for symptomatic gallstones, but there are not agreement about therapy of supposed synchronous choledocholithiasis. We report our experience about the sequential treatment (endoscopic-laparoscopic) of the gallstone and the associated common bile duct stones. Methods: During the period Jan. 1992 Dec. 1997 we have evaluated 128 patients that were submitted to ERCP for suspicion CBDS and gallstone. All patients undertook a sistematic assessment: Patient age, sex, history of jaundice, history of pancreatitis, levels of serum alanine aminotransferase, alkaline phosphatase, amylase, total and direct bilirubin nand CBD diameter on ultrasonography.