Combined Endoscopic Sphincterotomy and Laparoscopic Cholecystectomy in Patients with Choledocholithiasis and Cholecystolithiasis
Authors: Giuseppe Aliperti, Steven A. Edmundowicz, Nathaniel J. Soper, Stanley W. Ashley
Journal: Annals of Internal Medicine (1991)

Brief Reports15 November 1991Combined Endoscopic Sphincterotomy and Laparoscopic Cholecystectomy in Patients with Choledocholithiasis and CholecystolithiasisGiuseppe Aliperti, MD, Steven A. Edmundowicz, MD, Nathaniel J. Soper, MD, Stanley W. Ashley, MDGiuseppe Aliperti, MDSearch for more papers by this author, Steven A. Edmundowicz, MDSearch for more papers by this author, Nathaniel J. Soper, MDSearch for more papers by this author, Stanley W. Ashley, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-115-10-783 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLaparoscopic cholecystectomy is rapidly becoming the preferred surgical treatment for patients with symptomatic cholelithiasis. The smaller incision and the associated decrease in postoperative pain and disability allow for a shorter hospital stay and rapid return to full activity (1, 2). Laparoscopic cholecystectomy is generally limited to patients with cholecystolithiasis alone, because laparoscopic removal of stones from the common bile duct is difficult (3). We describe our experience with a combined endoscopic-laparoscopic approach for clearance of the common bile duct and removal of the gallbladder in symptomatic patients with simultaneous cholecystolithiasis and choledocholithiasis.Patients and MethodsThree hundred twenty-six consecutive patients...References1. ReddickOlsen ED. Laparoscopic laser cholecystectomy. A comparison with mini-lap cholecystectomy. Surg Endosc. 1989;3:131-3. CrossrefMedlineGoogle Scholar2. Soper N. Laparoscopic cholecystectomy: a promising new "branch" in the algorithm of gallstone management [Editorial]. Surgery. 1991;109:342-4. MedlineGoogle Scholar3. SmithSoperClayman PNR. Laparoscopic cholecystectomy and cholechodoscopy for the treatment of cholelithiasis and choledocholithiasis. Surgery. [In press.] Google Scholar4. Sivak M. Endoscopic management of bile duct stones. Am J Surg. 1989;158:228-40. CrossrefMedlineGoogle Scholar5. VellacottPowell KP. Exploration of the common bile duct: a comparative study. Br J Surg. 1979;66:389-91. CrossrefMedlineGoogle Scholar6. CranleyLogan BH. Exploration of the common bile duct—the relevance of the clinical picture and the importance of peroperative cholangiography. Br J Surg. 1980;67:869-72. CrossrefMedlineGoogle Scholar7. NorrbyHeumanAnderbergSjodahl SRBR. Duration of T-tube drainage after exploration of the common bile duct. Acta Chir Scand. 1988;154:113-5. MedlineGoogle Scholar8. SheridanWilliamsLewis WHM. Morbidity and mortality of common bile duct exploration. Br J Surg. 1987;74:1095-9. CrossrefMedlineGoogle Scholar9. Frazeevan Heerden RJ. Cholecystectomy with concomitant exploration of the common bile duct. Surg Gynecol Obstet. 1989;168:513-6. MedlineGoogle Scholar10. CottonBailliePappasMeyers PJTW. Laparoscopic cholecystectomy and the biliary endoscopist. Gastrointest Endosc [Editorial]. 1991;37:94-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Giuseppe Aliperti, MD; Steven A. Edmundowicz, MD; Nathaniel J. Soper, MD; Stanley W. Ashley, MDAffiliations: From the Washington University School of Medicine, St. Louis, Missouri. For current author addresses, see end of text. 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Leach, MDNon-surgical management of bile duct stonesLaparoscopic CholecystectomyLaparoscopic Common Bile Duct Surgery 15 November 1991Volume 115, Issue 10Page: 783-785KeywordsBile ductsCholedocholithiasisCholelithiasisDisabilitiesGallbladderHospital medicineLaparoscopic cholecystectomyPatientsSurgery ePublished: 1 December 2008 Issue Published: 15 November 1991 PDF downloadLoading ...