title: Intraoperative endoscopic retrograde cholangio-pancreatography: a useful tool in the hands of the hepatobiliary surgeon.
abstract: OBJECTIVE
  To evaluate the efficacy of intraoperative endoscopic retrograde cholangio-pancreatography (ERCP) combined with laparoscopic cholecystectomy (LC) for patients with gall bladder stones (GS) and common bile duct stones (CBDS).
  
  
  METHODS
  Patients treated for GS with CBDS were included. LC and intraoperative transcystic cholangiogram (TCC) were performed in most of the cases. Intraoperative ERCP was done for cases with proven CBDS.
  
  
  RESULTS
  Eighty patients who had GS with CBDS were included. LC was successful in all cases. Intraoperative TCC revealed passed CBD stones in 4 cases so intraoperative ERCP was performed only in 76 patients. Intraoperative ERCP showed dilated CBD with stones in 64 cases (84.2%) where removal of stones were successful; passed stones in 6 cases (7.9%); short lower end stricture with small stones present in two cases (2.6%) which were treated by removal of stones with stent insertion; long stricture lower 1/3 CBD in one case (1.3%) which was treated by open hepaticojejunostomy; and one case (1.3%) was proved to be ampullary carcinoma and whipple's operation was scheduled.
  
  
  CONCLUSIONS
  The hepatobiliary surgeon should be trained on ERCP as the third hand to expand his field of therapeutic options.
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Ayman
authors.initials: A
authors.lastname: El Nakeeb
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: Sultan
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Emad
authors.initials: E
authors.lastname: Hamdy
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Ehab
authors.initials: E
authors.lastname: El Hanafy
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Ehab
authors.initials: E
authors.lastname: Atef
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Tarek
authors.initials: T
authors.lastname: Salah
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: El Geidie
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Tharwat
authors.initials: T
authors.lastname: Kandil
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: El Shobari
authors.affiliation: Ayman El Nakeeb, Ahmad M Sultan, Emad Hamdy, Ehab El Hanafy, Ehab Atef, Tarek Salah, Ahmed A ElGeidie, Tharwat Kandil, Mohamed El Shobari, Gamal El Ebidy, Gastroenterology surgical center, Mansoura University, Daqahlia 35516, Egypt.
authors.forename: Gamal
authors.initials: G
authors.lastname: El Ebidy
mesh_terms: D000293:Adolescent; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects; D041761:Cholecystolithiasis / Q000175:diagnosis / Q000601:surgery*; D042883:Choledocholithiasis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult
keywords: Endoscopic retrograde cholangio-pancreatography; Gall stones; Obstructive jaundice