Minimally invasive treatment of cholecysto-choledocal lithiasis: The point of view of the surgical endoscopist

doi:10.4240/wjgs.v5.i6.161

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Jun 27, 2013 (publication date) through Nov 12, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Jun 27, 2013; 5(6): 161-166
Published online Jun 27, 2013. doi: 10.4240/wjgs.v5.i6.161

Table 2 Discussion overview of management strategies

Type of procedure	Advantages	Disadvantages
ERCP + ES	Less invasive	Equipment
	Procedure of choice in post-cholecystectomy	Local expertise
	patients, acute cholangitis, gallstone pancreatitis	2 stage procedure
	patients, acute cholangitis, gallstone pancreatitis	Complications
LCBDE: transcystic	Minimal invasive	Equipment
	One stage procedure	Local expertise
		Anatomic variations
		Prolonged OR time
LCBDE: choledochotomy	One stage procedure	Most invasive
		Necessitate of T-tube
		Prolonged OR time

ERCP: Endoscopic retrograde cholangiopancreatography; ES: Endoscopic sphincterotomy; LCBDE: Laparoscopic common bile duct exploration; OR: Operative time.

Citation: Palma GDD. Minimally invasive treatment of cholecysto-choledocal lithiasis: The point of view of the surgical endoscopist. World J Gastrointest Surg 2013; 5(6): 161-166
URL: https://www.wjgnet.com/1948-9366/full/v5/i6/161.htm
DOI: https://dx.doi.org/10.4240/wjgs.v5.i6.161