Percutaneous-endoscopic rendezvous procedure for the management of bile duct injuries after cholecystectomy: short- and long-term outcomes

Abstract

In experienced hands, rendezvous was a safe procedure, with a long-term success rate of 55 %. When endoscopic or transhepatic interventions fail to restore bile duct continuity in patients with BDI, rendezvous should be considered, either as definitive treatment or as a bridge to elective surgery.

The role of endoscopic ultrasound guidance for biliary and pancreatic duct access and drainage to overcome the limitations of ERCP: a retrospective evaluation

“…Hepaticogastrostomy was chosen over choledochoduodenostomy for biliary diversion in surgically altered anatomy (SAA), hilar strictures, and gastric outlet obstruction [11]. Temporary EUS-DAD fistulas allowing iterative ductal access for staged intervention (Video 1) were considered in patients with benign biliary disease and SAA [24,25] (Fig.1ab) and in patients with disconnected ducts [5][6][7] (Fig.2).…”

“…Accepted Manuscript Accepted Manuscript analysis prevented an accurate assessment of the role of EUS-DAD due to exclusion of patients who could potentially benefit from EUS-BD, such as patients with external biliary catheters [33] (Fig.2ab), or hilar strictures requiring combined approaches [4,6,34] (Fig.1d). Interestingly, the same group reported an EUS-BD rate of 5.9% following failed ERCP in a subsequent randomized study [13].…”

Complex percutaneous biliary procedures: Review and contributions of a high volume team

“…For those patients in whom either endoscopic and percutaneous treatment had failed, the next step would be the combined rendezvous technique. [81][82][83][84] This rendezvous is a collaboration between the endoscopists and the interventional radiologists. The point of the meeting could be extraluminal, for example inside a bile collection cavity, or intraluminal: inside the bile duct or even between the bile duct and the duodenum.…”

“…It mostly consists of case reports and small series. Schreuder et al 81 treated 44 patients with the rendezvous technique. They reported a 94% initial success rate in patients with complex biliary duct injuries following laparoscopic cholecystectomy, no 90-day mortality, and low morbidity (18% of adverse events).…”

Endotherapy of postcholecystectomy biliary strictures: Should we do as Romans do?

“…1 Emerging data on the midterm outcomes of these combined procedures challenge the traditional notion that transected bile ducts invariably dictate the need for surgical repair. 2 BDI manifests postoperatively as leaks or strictures that are typically delineated during ERCP performed with therapeutic intent. 3 Once the diagnosis of benign stricture is confirmed, endoscopic therapy entails serial dilation and insertion of the maximal number of multiple plastic stents (MPSs) side by side with serial ERCPs every 3 months until definitive stricture calibration is obtained, as originally described in the Rome protocol nearly 2 decades ago.…”