title: [Single-stage management of common duct stones by video-assisted laparoscopy. Analysis of 10 years' experience].
abstract: BACKGROUND
  The management of patients with gallstone disease and ductal calculi is controversial. The main options are one-stage or two-stage management.
  
  
  METHODS
  We performed a retrospective analysis of the experience gained over 10 years in the one-stage management of common duct stones in a high-volume tertiary hospital.
  
  
  RESULTS
  A total of 569 patients were initially treated by laparoscopy. Of these, 412 (76.3%) underwent the transcystic approach, 128 (23.7%) underwent laparoscopic choledochotomy and 29 (5%) were converted to open surgery. Overall morbidity and mortality were 2.46% and 0.52%, respectively.
  
  
  CONCLUSIONS
  In high-volume centers, one-stage laparoscopic management of common duct stones is safe and feasible, with a high proportion of patients that only require a transcystic approach.
authors.affiliation: Servicio de Cirugía, Hospital General de Agudos Cosme Argerich, Buenos Aires, Argentina.
authors.forename: Luis T
authors.initials: LT
authors.lastname: Chiappetta-Porras
authors.forename: Eduardo D
authors.initials: ED
authors.lastname: Nápoli
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Canullán
authors.forename: Hernán E
authors.initials: HE
authors.lastname: Roff
authors.forename: Bernabé M
authors.initials: BM
authors.lastname: Quesada
authors.forename: Néstor A
authors.initials: NA
authors.lastname: Hernández
authors.forename: Juan E
authors.initials: JE
authors.lastname: Petracchi
authors.forename: Alejandro S
authors.initials: AS
authors.lastname: Oría
mesh_terms: D002768:Choledochostomy / Q000295:instrumentation; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012189:Retrospective Studies; D020535:Video-Assisted Surgery / Q000295:instrumentation*