title: Endoscopic and surgical integration in the approach to biliary tract disease.
abstract: Several techniques are available today to access the bile ducts, all equally safe and effective. Since 1990, we have studied three groups of patients treated with different methods: the sequential endoscopic sphincterotomy + laparoscopic cholecystectomy, the single-stage laparoscopic approach, and the single laparoscopic-endoscopic approach. The results obtained in 127 patients to date suggest that one single-stage treatment is more convenient for the patient, while the combination of endoscopic sphincterotomy with laparoscopic cholecystectomy is preferable in terms of efficacy and safety.
authors: III Department of Surgery, La Sapienza, University of Rome, Italy.
authors: A
authors: A
authors: Montori
authors: G
authors: G
authors: Miscusi
authors: L
authors: L
authors: Masoni
authors: M
authors: M
authors: Gasparrini
authors: V
authors: V
authors: Pietropaolo
authors: J
authors: J
authors: Montori
authors: M
authors: M
authors: Onorato
authors: F
authors: F
authors: Marzano
mesh_terms: D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D012189:Retrospective Studies; D016717:Sphincterotomy, Endoscopic / Q000379:methods*; D016896:Treatment Outcome