Laparoscopy in cholecysto-choledocholithiasis.
Gallstone disease is one of the most common problems in the gastroenterology and is associated with significant morbidity. It may present as stones in the gallbladder (cholecystolithiasis) or in the common bile duct (choledocholithiasis). At the end of the 1980s laparoscopy was introduced and first laparoscopic cholecystectomy was performed in 1985. The laparoscopic technique for removing the gallbladder is the current treatment of choice, although indications for open surgery exist. To perform laparoscopic cholecystectomy as safe as possible multiple safety measures were developed. The gold standard for diagnosing and removing common bile duct stones is Endoscopic Retrograde Cholangiopancreatography (ERCP). The surgical treatment option for choledocholithiasis is laparoscopic cholecystectomy with common bile duct exploration. If experience is not available, than ERCP followed by elective cholecystectomy is by far the best therapeutic modality. The present review will discuss the use, benefits and drawbacks of laparoscopy in patients with cholecystolithiasis and choledocholithiasis.
Department of Surgery, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
A H
AH
van Dijk
Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, The Netherlands; Department of Surgery, Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, The Netherlands.
M
M
Lamberts
Department of Surgery, Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, The Netherlands.
C J H M
CJ
van Laarhoven
Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Postbus 9101, 6500 HB Nijmegen, The Netherlands.
J P H
JP
Drenth
Department of Surgery, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
M A
MA
Boermeester
Department of Surgery, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. Electronic address: p.r.dereuver@amc.uva.nl.
P R
PR
de Reuver
D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D041761:Cholecystolithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D042883:Choledocholithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome
Cholecystolithiasis; Choledocholithiasis; Laparoscopy