[Therapy of bile duct calculi from the surgical viewpoint].
Stones in the ductus choledochus can be managed endoscopic-retrograde, percutaneously-transhepatic (in case it is impossible to reach the papilla vateri) or surgically. If choledocholithiasis is found on performing a laparoscopic cholecystectomy management nowadays consists of splitting the therapeutic regimen: Laparoscopic cholecystectomy and postoperative ERCP and papillotomy. A one time surgical procedure is certainly going to be more frequent in the future: laparoscopic cholecystectomy and revision of the choledochus. This procedure has great advantages for the patient as it needs just a single operation and is easy on his papilla. The necessary laparoscopic instruments have to be perfected and the procedure demands a substantial amount of time plus a high surgical standard.
Hoffmann
R
R
Departement Chirurgie, Universitätsspital Zürich.
D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation*; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D004867:Equipment Design; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D011379:Prognosis; D016717:Sphincterotomy, Endoscopic / Q000295:instrumentation*
Die Therapie der Gallengangsteine aus chirurgischer Sicht.