title: [The "rendez-vous" maneuver as a technical option to access the bile ducts: case series report].
abstract: The "rendez-vous" maneuver is a technical option, to have in mind, for the bile ducts access. This technique assures a "guided" canulation of the bile duct during the laparoscopic cholecystectomy (LC). We analyzed three clinical cases of patients with cholecysto-choledocolithiasis, in whose were planned Endoscopic Retrograde Cholangio-Pancreatography (ERCP) and LC during the same surgical intervention. The "rendez-vous" maneuver was employed as a technical option to access the bile duct, after an initial (failed) endoscopic attempt of cannulation. An intraoperative cholangiography was performed and a guide wire was inserted through the cystic duct, allowing the endoscopic capture and the guided cannulation of the bile duct. The therapeutic objective was achieved in all patients. There was not associated morbid-mortality and all patients were satisfied with the surgical outcome. In these series of cases, the "rendez-vous" maneuver was a viable, safe and useful technical option to access the bile ducts. Futhermore, the cholecysto-choledocolithiasis was treated during the same surgical intervention. A postoperative bile duct exploration becomes unnecessary.
authors.affiliation: Unidad de Cirugía de Mínimo Acceso (UCMA), Hospital Universitario "Dr. Luis Razetti", Barcelona, Venezuela. freddypereiragraterol@gmail.com
authors.forename: F
authors.initials: F
authors.lastname: Pereira-Graterol
authors.forename: Y
authors.initials: Y
authors.lastname: Venales-Barrios
authors.forename: J
authors.initials: J
authors.lastname: Bousquet-Suárez
authors.forename: A
authors.initials: A
authors.lastname: Cáceres-Cauro
authors.forename: C
authors.initials: C
authors.lastname: Romero-Bravo
authors.forename: J
authors.initials: J
authors.lastname: Moreno-Rodríguez
authors.forename: L
authors.initials: L
authors.lastname: Rodríguez-Perero
mesh_terms: D000368:Aged; D001652:Bile Ducts / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D002404:Catheterization / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods*; D002764:Cholecystitis / Q000601:surgery; D004386:Duodenum / Q000473:pathology; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications