>Year 2017, Issue 1
Torres CJR, Torres LE, Rebollar GR
Laparoscopic cholecystectomy “rendezvous” as a treatment for cholecystocholedocholithiasis. A series of cases
Cir Gen 2017; 39 (1)
PDF: 4. Kb.
The prevalence of lithiasic cholecystitis in Mexico is estimated
on 20% of the population; of them, up to 18% may
present lithiasis in the bile duct.
Objective: To report a
series of cases with cholecistocholedocholithiasis resolved
by a laparoendoscopic procedure.
Material and methods:
Retrospective data collection of the clinical records of
patients treated with the laparoendoscopic rendezvous
technique in a private hospital in Mexico City from
January 2012 to January 2014.
Results: The procedure was performed in a total of 22 patients; the mean time
of accomplishment was 99.7 minutes; the success rate
was 100%, with no complications present.
Discussion: This study proposes a highly effective laparoendoscopic
treatment for choledocholithiasis, which is carried out in
a single surgical procedure, with a lower risk of complications
and a more controlled technique.
Conclusions: Endoscopic-laparoscopic or rendezvous treatment for the
resolution of choledocholithiasis during the same surgical procedure is easier, has less technical difficulty, and is easily reproducible.
||Choledocholithiasis, rendezvous, laparoendoscopic, common bile duct stones, endoscopic retrograde cholangiopancreatography, laparoendoscopic rendezvous, laparoscopic cholecystectomy.
Dasari BV, Tan CJ, Gurusamy KS, Martin DJ, Kirk G, McKie L, et al. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. 2013; CD003327.
Rebollar GR, Antonio MM. Coledocolitiasis y colangitis. En: Rebollar GR. Manual de cirugía general del Hospital Juárez de México. México: Universum; 2014. pp. 139-146.
Ding YB, Deng B, Liu XN, Wu J, Xiao WM, Wang YZ, et al. Synchronous vs sequential laparoscopic cholecystectomy for cholecystocholedocholithiasis. World J Gastroenterol. 2013; 19: 2080-2086.
ElGeidie AA, ElEbidy GK, Naeem YM. Preoperative versus intraoperative endoscopic sphincterotomy for management of common bile duct stones. Surg Endosc. 2011; 25: 1230-1237.
Martin DJ, Vernon DR, Toouli J. Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev. 2006; CD003327.
Moon JH, Cho YD, Cha SW, Cheon YK, Ahn HC, Kim YS, et al. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Am J Gastroenterol. 2005; 100: 1051-1057.
Li B, Li X, Zhou WC, He MY, Meng WB, Zhang L, et al. Effect of endoscopic retrograde cholangiopancreatography combined with laparoscopy and choledochoscopy on the treatment of Mirizzi syndrome. Chin Med J (Engl). 2013; 126: 3515-3518.
Kubiliun NM, Elmunzer BJ. Preventing pancreatitis after endoscopic retrograde cholangiopancreatography. Gastrointest Endosc Clin N Am. 2013; 23: 769-786.
Kroh M, Chand B. Choledocholithiasis, endoscopic retrograde cholangiopancreatography, and laparoscopic common bile duct exploration. Surg Clin North Am. 2008; 88: 1019-1031, vii.
Orenstein SB, Marks JM, Hardacre JM. Technical aspects of bile duct evaluation and exploration. Surg Clin North Am. 2014; 94: 281-296.
El-Geidie AA. Laparoendoscopic management of concomitant gallbladder stones and common bile duct stones: what is the best technique? Surg Laparosc Endosc Percutan Tech. 2011; 21: 282-287.
Jakobsen HL, Vilmann P, Rosenberg J. Endoscopic sphincterotomy for common bile duct stones during laparoscopic cholecystectomy is safe and effective. Surg Laparosc Endosc Percutan Tech. 2011; 21: 450-452.
Al-Jiffry BO, Elfateh A, Chundrigar T, Othman B, Almalki O, Rayza F, et al. Non-invasive assessment of choledocholithiasis in patients with gallstones and abnormal liver function. World J Gastroenterol. 2013; 19: 5877-5882.
Yang MH, Chen TH, Wang SE, Tsai YF, Su CH, Wu CW, et al. Biochemical predictors for absence of common bile duct stones in patients undergoing laparoscopic cholecystectomy. Surg Endosc. 2008; 22: 1620-1624.
Sommer A, Burlefinger R, Bayerdörffer E, Ottenjann R. Internal biliary drainage in the “rendezvous” procedure. Combined transhepatic endoscopic retrograde methods. Dtsch Med Wochenschr. 1987; 112: 747-751.
Baloyiannis I, Tzovaras G. Current status of laparoendoscopic rendezvous in the treatment of cholelithiasis with concomitant choledocholithiasis. World J Gastrointest Endosc. 2015; 7: 714-719.
>Year 2017, Issue 1