[Single-stage management of common duct stones by video-assisted laparoscopy. Analysis of 10 years' experience].
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.
Chiappetta-Porras
Luis T
LT
Servicio de Cirugía, Hospital General de Agudos Cosme Argerich, Buenos Aires, Argentina.
Nápoli
Eduardo D
ED
Canullán
Carlos M
CM
Roff
Hernán E
HE
Quesada
Bernabé M
BM
Hernández
Néstor A
NA
Petracchi
Juan E
JE
Oría
Alejandro S
AS
D002768:Choledochostomy / Q000295:instrumentation; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012189:Retrospective Studies; D020535:Video-Assisted Surgery / Q000295:instrumentation*