title: Intraoperative ERCP: What role does it have in the era of laparoscopic cholecystectomy?
abstract: In the treatment of patients with symptomatic cholelithiasis and choledocholithiasis (CBDS) detected during intraoperative cholangiography (IOC), or when the preoperative study of a patient at intermediate risk for CBDS cannot be completed due to the lack of imaging techniques required for confirmation, or if they are available and yield contradictory radiological and clinical results, patients can be treated using intraoperative endoscopic retrograde cholangiopancreatography (ERCP) during the laparoscopic treatment or postoperative ERCP if the IOC finds CBDS. The choice of treatment depends on the level of experience and availability of each option at each hospital. Intraoperative ERCP has the advantage of being a single-stage treatment and has a significant success rate, an easy learning curve, low morbidity involving a shorter hospital stay and lower costs than the two-stage treatments (postoperative and preoperative ERCP). Intraoperative ERCP is also a good salvage treatment when preoperative ERCP fails or when total laparoscopic management also fails.
authors.affiliation: Luis R Rábago, Alejandro Ortega, Inmaculada Chico, David Collado, Ana Olivares, Jose Luis Castro, Elvira Quintanilla, Department of Gastroenterology, Severo Ochoa Hospital, Leganes, 28911 Madrid, Spain.
authors.forename: Luis R
authors.initials: LR
authors.lastname: Rábago
authors.forename: Alejandro
authors.initials: A
authors.lastname: Ortega
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Chico
authors.forename: David
authors.initials: D
authors.lastname: Collado
authors.forename: Ana
authors.initials: A
authors.lastname: Olivares
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Castro
authors.forename: Elvira
authors.initials: E
authors.lastname: Quintanilla