Rendezvous Technique Versus Endoscopic Retrograde Cholangiopancreatography to Treat Bile Duct Stones Reduces Endoscopic Time and Pancreatic Damage

G, La Greca; Barbagallo, Francesco; Blasi, Michele Di; Stefano, Manuela Di; Castello, G; Gagliardo, Salvina; Latteri, Saverio; Russello, Domenico

doi:10.1089/lap.2006.0030

Cited by 36 publications

(42 citation statements)

References 17 publications

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“…Many experiences were reported in the literature [60][61][62][63] , confirming safety, excellent CBD clearance percentages, and short learning curves. The adjunct of the intraoperative procedure does not prolong hospitalization of routine LC [64] .…”

Section: Intraoperative Ercp (With Concomitant Laparoscopic Cholecystmentioning

confidence: 70%

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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Section: Intraoperative Ercp (With Concomitant Laparoscopic Cholecystmentioning

confidence: 70%

Modern approach to cholecysto-choledocholithiasis

Bencini¹

2014

WJGE

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“…The reduction and facilitation of the steps of the endoscopic procedure due to the surgeon's help of the endoscopist finally brings a relevant reduction of the time of the endoscopic procedure. Moreover the post-procedural hyperamylasemia and acute pancreatitis are strongly reduced or absent after RV if compared to standard ERCP [6,8,16] and this is principally related to avoidance of the risk factors reported in Table 1. These factors are those clearly related to the incidence and mechanism of post-ERCP pancreatitis in different analyses [31][32][33][34] .…”

Section: Discussionmentioning

confidence: 95%

“…According to our results, the endoscopist's opinion and literature results, ERCP-ES with help seems to be easier for the endoscopist so that radiologicendoscopic rendezvous was also used [13,14] . On the other hand, CBD clearance during LC with help of the endoscopist also seems easier for the surgeon as all the surgeons using the RV were always satisfied, never reporting results or aspects that lead them to abandon it [1][2][3][4][5][6][7][8]15,16] . These patients are all treated in an in-patient hospital setting so normally both surgeon and endoscopist are available and the other mandatory factors to gain the organization of a RV are functioning clocks and telephones to coordinate them.…”

Section: Discussionmentioning

confidence: 99%

Laparo-endoscopic “Rendezvous” to treat cholecysto-choledocolithiasis: Effective, safe and simplifies the endoscopist’s work

G¹,

Barbagallo²,

Blasi³

et al. 2008

WJG

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AIM:To investigate our clinical experience with combined laparo-endoscopic Rendezvous (RV) for the treatment of patients affected by gallstones and common bile duct (CBD) stones and especially to study the never evaluated opinion of the endoscopist concerning the difficulty of the intraoperative endoscopic procedure during the RV in comparison with standard endoscopic retrograde cholangio-pancreatography (ERCP). METHODS:Eighty consecutive patients affected by cholecystolithiasis and diagnosed or suspected CBD stones were treated with a standardized "tailored" RV. The relevant technical features, the feasibility, the effectiveness in stone clearance, the safety but also the simple evaluation of difficulty and agreement of the endoscopist were analyzed with a questionnaire. R E S U LT S :T h e f e a s i b i l i t y w a s 9 7. 5 % a n d t h e effectiveness 100% concerning CBD clearance and solution of coexisting problems at the papilla. Minor morbidity was 3.3%, the operating time was prolonged by a mean of 14 min, the mean hospital stay was 3.8 d and only one stone's recurrence occurred. The endoscopist evaluated the procedure to be simpler than standard ERCP-ES in 81.2% of the cases. C O N C L U S I O N :S i m u l t a n e o u s R V c a r r i e s h i g h effectiveness and safety at least comparable to those reported for other options. The endoscopist is very often satisfied with this approach because of the minimization of some steps of the endoscopic procedure and avoidance of relevant iatrogenic risk factors. If the mandatory collaboration between surgeons and endoscopists is guaranteed, this approach can often be preferable for the patient, the surgeon, the endoscopist and the hospital.

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“…The published papers describing patients treated with a single-stage laparoendoscopic treatment of gallstones and CBD stones are shown in Table 1 [7,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. The data were collected from 20 original papers reporting studies involving 8 [11] to 93 [26] patients.…”

Section: Resultsmentioning

confidence: 99%

“…The reported effectiveness of CBD stone clearance varied in a wide range, from 69.2% [19] to 100% [11,12,30], but unfortunately, the criteria for the selection of patients for this treatment were mostly unclear or not available. These results concerning the effectiveness seemed unrelated to the experience, the number of patients treated, or the time of the studies.…”

Section: Resultsmentioning

confidence: 99%

Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis

Barbagallo

Miceli

et al. 2009

Surg Endosc

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There is confusion concerning the definitions and techniques of RV due to differences in combining surgical and endoscopic steps of the procedure. The results are at least comparable with those of the other available approaches. The effectiveness of RV is greater with reciprocal implementation of surgical and endoscopic procedures. The morbidity and the risk of iatrogenic damage seem lower than with ERCP-ES and the risk of residual stones lower than with TL treatment. The RV procedure is safe and can sometimes be the preferable option, but collaboration between surgeon and endoscopist is mandatory.

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Rendezvous Technique Versus Endoscopic Retrograde Cholangiopancreatography to Treat Bile Duct Stones Reduces Endoscopic Time and Pancreatic Damage

Cited by 36 publications

References 17 publications

Modern approach to cholecysto-choledocholithiasis

Modern approach to cholecysto-choledocholithiasis

Laparo-endoscopic “Rendezvous” to treat cholecysto-choledocolithiasis: Effective, safe and simplifies the endoscopist’s work

Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis

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