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Review
. 2018 Feb 20:14:305-312.
doi: 10.2147/TCRM.S146461. eCollection 2018.

Single-stage procedure for the treatment of cholecysto-choledocolithiasis: a surgical procedures review

Aldo Bove  1 , Raffaella Maria Di Renzo  1 , Gino Palone  1 , Domenica Testa  1 , Valentina Malerba  1 , Giuseppe Bongarzoni  1
Affiliations
Review

Single-stage procedure for the treatment of cholecysto-choledocolithiasis: a surgical procedures review

Aldo Bove et al. Ther Clin Risk Manag. .

Abstract

While laparoscopic cholecystectomy is generally accepted as the treatment of choice for simple gallbladder stones, in cases in which common bile duct stones are also present, clinical and diagnostic elements, along with intraoperative findings, define the optimal means of treatment. All available options must be accessible to the surgical team which must necessarily be multidisciplinary and include a surgeon, an endoscopist, and a radiologist in order to identify the best option for a truly personalized surgery. This review describes the different techniques and approaches used based on distinctive recommendations and factors, according to the specific cases treated and the results achieved.

Keywords: bile duct clearance; cholecysto-choledocolithiasis; one-stage treatment.

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Conflict of interest statement

Disclosure The authors report no conflict of interests in this work.

Figures

Figure 1
Figure 1
Trans-cystic clearance.
Figure 2
Figure 2
Intraoperative papillotomy with “rendezvous.”
Figure 3
Figure 3
Laparoscopic choledochotomy.
Figure 4
Figure 4
Flowchart for the treatment of cholecysto-choledocolithiasis. Abbreviation: CBD, common bile duct.
See this image and copyright information in PMC

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