[Combined laparoscopic and endoscopic treatment of gallbladder and bile duct stones].
In the present study we have tried to find what is the best time for endoscopy in the treatment of gallstones associated with common bile duct stones.


METHODS
We have selected on the intention to treat 89 patients suspected of cholecysto-choledocholithiasis. There have been 38 cases with preoperative endoscopy (Group A), 35 cases with postoperative endoscopy (Group B) and 16 cases with perioperative endoscopy (Group C).


RESULTS
In group C it has been a significant higher proportion of successfully treated cases (94%) and a lower hospital stay (8.6 +/- 3.7 days).


CONCLUSIONS
Combining the endoscopy and laparoscopy in the same operation ("rendez-vous" technique) is the best approach for treating cholecysto-choledocholithiasis.
Clinica de Chirurgie Generală, Spitalul Clinic de Urgentă Sf. Ioan-Bucureşti. florin.turcu@net4u.ro
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Turcu
D000328:Adult; D000368:Aged; D000465:Algorithms; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016717:Sphincterotomy, Endoscopic / Q000379:methods*; D016896:Treatment Outcome