Single stage treatment of cholelithiasis and choledocholithiasis: Report of first cases with combined endoscopic and laparoscopic technique
Evren Dilektaşlı1, Nizamettin Demirci2, Mehmet Fatih Erol2, Mehmet Emrah Bayam2, Deniz Tihan2, Hacı Murat Çaycı2, Uğur Duman21Acute Care Surgery and Surgical Critical Care, Department of Surgery, Southern California University, California, USA; Department of General Surgery, Sevket Yilmaz Training and Research Hospital, Bursa, Turkey2Department of General Surgery, Sevket Yilmaz Training and Research Hospital, Bursa, Turkey
INTRODUCTION: There are still many controversies in the treatment of cholecysto-choledocholithiasis. When cholelithiasis is present with concomitant choledochus stone, both choledochus clearance and cholecystectomy have been advised in recent guidelines. However, the sequence and whether there should or should not be an interval between the 2 procedures is still debated.
METHODS: Data of 10 patients who underwent endoscopic retrograde cholangio pancreatography (ERCP) and laparoscopic cholecystectomy in same session between 2012 and 2013 were retrieved and analyzed.
RESULTS: Feasibility of combination of procedures, under the same general anesthesia was examined.
DISCUSSION AND CONCLUSION: Analysis of first 10 cases suggests that single session ERCP and laparoscopic cholecystectomy is safe and feasible means of managing cholecysto-choledocholithiasis. No increase in complication rate, operation time, or hospital stay was found.
Manuscript Language: English