Laparoscopic cholecystectomy and perioperative ERCP
Détails
ID Serval
serval:BIB_A2CDF4069296
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Laparoscopic cholecystectomy and perioperative ERCP
Périodique
Hepatogastroenterology
ISSN
0172-6390 (Print)
Statut éditorial
Publié
Date de publication
2000
Volume
47
Numéro
35
Pages
1221-1222
Notes
DA - 20010329
LA - eng
PT - Journal Article
SB - IM
LA - eng
PT - Journal Article
SB - IM
Résumé
BACKGROUND/AIMS: Study of acceptance of simultaneous laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography for treatment of cholelithiasis with choledocholithiasis. METHODOLOGY: There were 25 patients. Ten patients had acute pancreatitis of biliary etiology, accompanied by transitory icterus. In 15 patients, choledocholithiasis was suspected preoperatively both on ultrasonography and i.v. cholangiography. In all patients laparoscopic cholecystectomy with perioperative endoscopic retrograde cholangiopancreatography and sphincterotomy were performed for the treatment of cholelithiasis and choledocholithiasis. RESULTS: Simultaneous laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography was successfully done in all patients. The patients were discharged home on the 4th day after the surgery. Concerning early complications, there where 3 early complications, e.g., prolonged hemorrhage after papillotomy in a patient with choledocholithiasis with stenotic papillitis. Conservative therapy (fresh frozen plasma, local hemostats) was used in this patient. In 4 patients with choledocholithiasis, transitory hyperamylasemia was observed, with no clinical symptoms of pancreatitis. The symptoms disappeared with conservative therapy 3 days after the beginning of treatment. CONCLUSIONS: Simultaneous laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography for treatment of cholelithiasis and choledocholithiasis is a safe and acceptable treatment
Mots-clé
Ampulla of Vater/surgery/Cholangiopancreatography,Endoscopic Retrograde/methods/Cholecystectomy,Laparoscopic/Cholelithiasis/complications/Female/Gallstones/Humans/Male/Middle Aged/Treatment Outcome
Pubmed
Web of science
Création de la notice
18/02/2008 13:30
Dernière modification de la notice
20/08/2019 15:08