Routine Use of Simultaneous Laparoendoscopic Approach in Patients with Confirmed Gallbladder and Bile Duct Stones: Fit for Laparoscopy Fit for “Rendezvous”

Tommasi, Cinzia; Bencini, Lapo; Bernini, Marco; Naspetti, Riccardo; Cavallina, Giulia; Manetti, Roberto; Talamucci, Luca; Farsi, Marco

doi:10.1007/s00268-013-1962-4

Cited by 15 publications

(21 citation statements)

References 75 publications

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“…A C C E P T E D ACCEPTED MANUSCRIPT rendezvous procedure appears to be a valuable method when biliary cannulation in ERCP fails [24][25][26]. This procedure is associated with a higher success rate, shorter hospital stay, and fewer complications with sequential ERCP and LC.…”

Section: Discussionmentioning

confidence: 96%

Laparoscopic management after failed endoscopic stone removal in nondilated common bile duct

Zang

Yin

Zhang

et al. 2016

International Journal of Surgery

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Section: Discussionmentioning

confidence: 96%

Laparoscopic management after failed endoscopic stone removal in nondilated common bile duct

Zang

Yin

Zhang

et al. 2016

International Journal of Surgery

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“…The technique was first described almost 20 years ago [52][53][54] , and hypothetically, it combines many advantages, such as minimal invasiveness and an acceptable learning curve, at the price of some organization troubles between endoscopists, surgeons and operating room personnel [55][56][57] , but is yet to be accepted. A robust review by La Greca et al [58] analyzed data from 27 papers, which included almost 800 patients and compared the RVT to other approaches.…”

Section: Intraoperative Ercp (With Concomitant Laparoscopic Cholecystmentioning

confidence: 99%

“…For example, the RVT could be attempted in the case of uncompleted preoperative ERCP caused by a difficult papillary approach [72] . Alternatively, if the guidewire insertion through the cystic duct during the RVT is not possible, a skilled endoscopist is able to complete the one-stage procedure through a conventional intraoperative ERCP [57] . Moreover, a failed preoperative or intraoperative ERCP could lead to an LCBDE or an open intervention, while a second-look at a multiple-session ERCP (often with stenting) is always possible with the help of shock-wave technologies or percutaneous trans-hepatic treatments [73][74][75] .…”

Section: Shifts Between the Approaches And Other Techniquesmentioning

confidence: 99%

“…However, it is very difficult to schedule several LC within an appropriate time after a preoperative ERCP, which is to be balanced with oncologic patients. Therefore, our approach to CCL is usually based on the RVT [57] . From a theoretic point of view, the best approach should be that in which all options are available in the same facility, modulating each one according to the single patient.…”

Section: Comparing the Different Techniquesmentioning

confidence: 99%

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Modern approach to cholecysto-choledocholithiasis

Bencini¹

2014

WJGE

Self Cite

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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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“…Rendezvous technique, which is essential for the success of procedure, involves a sequence of maneuver and collaboration between surgeon and endoscopist. Although several kinds of techniques have been reported [5, 8, 9], there was no comparative study investigating different techniques of LERV. After utilization of traditional technique of LERV on early cases, we have developed a modified technique of LERV which demonstrated favorable surgical results by comparing to traditional technique.…”

Section: Introductionmentioning

confidence: 99%

A Modified Technique Reduced Operative Time of Laparoendoscopic Rendezvous Endoscopic Retrograde Cholangiopancreatography Combined with Laparoscopic Cholecystectomy for Concomitant Gallstone and Common Bile Ductal Stone

Liu

Qun-wei

Xiao

et al. 2014

Gastroenterology Research and Practice

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Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC+ERCP/LERV) are considered an optimal approach for concomitant gallstones and common bile duct stones. The rendezvous technique is essential for the success of procedure. We applied two different LERV techniques, traditional technique and modified technique, in 60 consecutive cases from January 2011 to November 2012. 32 cases who underwent modified technique (group 1) from February 2012 to November 2012 were retrospectively compared to 28 cases (group 2) who underwent traditional technique from January 2011 to January 2012. There was no significant difference between two groups with respect to preoperative demographic features. Although the difference was not statistically significant, the procedure was successfully performed in 31 cases (96.9%) in group 1 and 24 cases (86.2%) in group 2. The mean operative time and time of endoscopic part were 82.6 ± 19.6 min and 26.5 ± 5.99 min in group 1 which were significantly shorter than those in group 2 (118.0 ± 23.1 min and 58.7 ± 13.3 min, resp.). There was no postoperative pancreatitis and mortality in both groups. The mean hospital stay, blood loss, incidence of complications, and residual stone were of no difference in both groups. This study proved that this modified technique can effectively reduce the operative time and time of endoscopic part of LC+ERCP/LERV compared with traditional technique.

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Routine Use of Simultaneous Laparoendoscopic Approach in Patients with Confirmed Gallbladder and Bile Duct Stones: Fit for Laparoscopy Fit for “Rendezvous”

Abstract: The RVT appears to be effective and safe as it was performed at our institution, with an overall percentage of definitive success (passed guide wire and no further ERC) of 81 %. The RVT should be considered as a good option for the treatment of simultaneous gallstones and CBDS.

Cited by 15 publications

References 75 publications

Laparoscopic management after failed endoscopic stone removal in nondilated common bile duct

Laparoscopic management after failed endoscopic stone removal in nondilated common bile duct

Modern approach to cholecysto-choledocholithiasis

A Modified Technique Reduced Operative Time of Laparoendoscopic Rendezvous Endoscopic Retrograde Cholangiopancreatography Combined with Laparoscopic Cholecystectomy for Concomitant Gallstone and Common Bile Ductal Stone

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