For patients with predicted low risk for choledocholithiasis undergoing laparoscopic cholecystectomy, selective intraoperative cholangiography and postoperative endoscopic retrograde cholangiopancreatography is an effective strategy to limit unnecessary procedures

Byrne, Michael F.; Mcloughlin, Mark; Mitchell, R. M.; Gerke, Henning; Kim, K.; Pappas, Theodore N.; Branch, M. Stanley; Jowell, Paul S.; Baillie, John

doi:10.1007/s00464-008-0250-0

Cited by 24 publications

(17 citation statements)

References 37 publications

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“…There is ongoing debate about whether IOC should be performed routinely [4,15,16] or selectively [17,18] during LC, and regarding the timing of preoperative or postoperative ERCP [19][20][21][22][23][24][25] in patients who are suspected of having choledocholithiasis. Laparoscopic CBD exploration has emerged recently as a treatment option for ductal stones; however, ERCP before or after LC is still the most common approach [26,27].…”

Section: Discussionmentioning

confidence: 99%

Prediction of Which Patients with an Abnormal Intraoperative Cholangiogram Will Have a Confirmed Stone at ERCP

et al. 2009

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Approximately one-half of patients with an abnormal IOC have a normal postoperative ERCP. None of the parameters evaluated in this retrospective study helped identify patients who merit further evaluation by ERCP. The argument could be made that in patients with an abnormal IOC, less invasive methods such as endoscopic ultrasound or magnetic resonance cholangiopancreatography could be used postoperatively if symptoms arise to assess for possible retained stone.

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Section: Discussionmentioning

confidence: 99%

Prediction of Which Patients with an Abnormal Intraoperative Cholangiogram Will Have a Confirmed Stone at ERCP

et al. 2009

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“…In those patients with a lower risk of CBDS, a policy of selective IOC and ERCP after LC seems to be rational [50] . Similar situations are represented by intraoperative diagnosis of CBDS when an endoscopist or a surgeon trained to perform a laparoscopic bile duct clearance is not available in the operating theatre or in those cases of misdiagnosed CBDS discovered only after LC.…”

Section: Postoperative Ercp (After Laparoscopic Cholecystectomy)mentioning

confidence: 99%

Modern approach to cholecysto-choledocholithiasis

Bencini¹

2014

WJGE

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Gallstones and common bile duct calculi are found to be associated in 8%-20% of patients, leading to possible life-threatening complications, such as acute biliary pancreatitis, jaundice and cholangitis. The gold standard of care for gallbladder calculi and isolated common bile duct stones is represented by laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography, respectively, while a debate still exists regarding how to treat the two diseases at the same time. Many therapeutic options are also available when the two conditions are associated, including many different types of treatment, which local professionals often administer. The need to limit maximum discomfort and risks for the patients, combined with the economic pressure of reducing costs and utilizing resources, favors single-step procedures. However, a multitude of data fail to strongly demonstrate the superiority of any technique (including a two or multi-step approach), while rigorous clinical trials that include so many different types of treatment are still lacking, and it is most likely unrealistic to conduct them in the future. Therefore, the choice of the best management is often led by the local presence of professional expertise and resources, rather than by a real superiority of one strategy over another.

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“…De los pacientes con riesgo bajo (47,26 %), tan solo el 5,26 % presentó coledocolitiasis, lo cual concuerda con los resultados reportados en otros estudios 2,11,12,18,19 . La media de hospitalización fue de 6,7 días para esta población, la cual consideramos alta, ya que estos pacientes no requieren ayudas diagnósticas diferentes a las rutinarias.…”

Section: Discussionunclassified

Validación externa del modelo HUSI para la predicción de coledocolitiasis en pacientes con colelitiasis-colecistitis

et al. 2018

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For patients with predicted low risk for choledocholithiasis undergoing laparoscopic cholecystectomy, selective intraoperative cholangiography and postoperative endoscopic retrograde cholangiopancreatography is an effective strategy to limit unnecessary procedures

Cited by 24 publications

References 37 publications

Prediction of Which Patients with an Abnormal Intraoperative Cholangiogram Will Have a Confirmed Stone at ERCP

Prediction of Which Patients with an Abnormal Intraoperative Cholangiogram Will Have a Confirmed Stone at ERCP

Modern approach to cholecysto-choledocholithiasis

Validación externa del modelo HUSI para la predicción de coledocolitiasis en pacientes con colelitiasis-colecistitis

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