[Minimally-invasive management of common bile duct stones].
Common bile duct stones may present a health hazard for our patients. Nevertheless, since the implementation of laparoscopic cholecystectomy optimal diagnostic and therapeutic algorithm are not yet defined. Symptomatic calculi can be assumed on the basis of pathological laboratory values or diagnosed by means of ultrasound, Intraoperative Cholangiography (IOC) or Magnetic-Resonance-Cholangio-Tomography (MRCT). For therapy of common bile duct stones endoscopic and laparoscopic minimally-invasive strategies are available. As any type of management may show some benefit, it is not yet evident which policy we should prefer. Specialists do not agree on the necessity of therapy in asymptomatic patients with common bile duct calculi at all. This article shows a current state of the opinion and art and tends to highlight trends and future perspectives.
Beller
S
S
Landeskrankenhaus Bregenz, Chirurgische Abteilung. beller@rrk.charite-buch.de
Szinicz
G
G
D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D042883:Choledocholithiasis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D004724:Endoscopy; D005544:Forecasting; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures; D014463:Ultrasonography