Use of the transcystic guidewire in single-intervention treatment for cholecysto-choledocholithiasis. A case report and technical notes.
Videolaparoendoscopic treatment of choledocholithiasis in a single stage is an important option for this disease. We currently adopt this approach to choledocholithiasis in our department. We report here the case of a woman with stones in the biliary tract and gallbladder. After videolaparoscopic cholecystectomy we performed a transcystic cholangiography. A guidewire was used to show Vater's papilla during endoscopic papillosphinterotomy, because this was in a duodenal diverticulum that made it impossible to cannulate the papilla. We propose this method in all those cases in which, for anatomical reasons, the papilla cannot be easily cannulated.
Department of Surgical Science, General Surgery and Organ Transplantation, School of Medicine, University of Parma.
Paolo
P
Dell'Abate
Paolo
P
Del Rio
Paolo
P
Soliani
Mariafrancesca
M
Arcuri
Mario
M
Sianesi
D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D016717:Sphincterotomy, Endoscopic / Q000295:instrumentation*; D014743:Videotape Recording