[Complications in the treatment of cholangiolithiasis. Personal experience].
Bile ducts lithiasis is a very common disease all over the world. In Italy prevalence is about 5 millions cases: 11% of the population. Choledocholithiasis concurrent with gallbladder stones frequency is estimated from 4 to 20%. Incidence is even higher in the elderly and in patients affected by chronic liver disease. The treatment of bile ducts lithiasis is still debated; several surgical strategies may be performed: (1) fully laparoscopic procedure; (2) endo-laparoscopic sequential treatment; (3) sequential inverse treatment (endoscopy following video laparoscopic cholecystectomy); (4) combined endo-laparoscopic treatment simultaneously performed; (5) 'open" treatment. The authors refer their experience concerning a series of 172 patients who underwent endo-laparoscopic sequential treatment to amend bile duct and gallbladder lithiasis. Complications are pointed out, pending to demonstrate safeness and effectiveness of this strategy.
Lippolis
Agostino
A
Unità Operativa di Chirurgia Generale De Blasi-Policlinico Bari, D.A.C.T.I., Sezione di Chirurgia Generale e Toracica, Università degli Studi di Bari.
Lorusso
Curzio
C
Merlicco
Domenico
D
Palazzo
Paola
P
Nacchiero
Michele
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D041761:Cholecystolithiasis / Q000601:surgery; D042883:Choledocholithiasis / Q000601:surgery; D002769:Cholelithiasis / Q000453:epidemiology / Q000601:surgery*; D017558:Elective Surgical Procedures / Q000009:adverse effects; D004638:Emergency Treatment / Q000009:adverse effects; D016145:Endoscopy, Digestive System / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged