Abstract
Routine intraoperative cholangiography during laparoscopic cholecystectomy
Highlights
The asymptomatic stones of the common bile duct (CBD) represents, even today, a considerable challenge for the surgeon despite the progress made both in endoscopy and laparoscopy
If the gallbladder is “in situ” the treatment is controversial i.e. endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC)
Our personal tendency is to treat the common bile duct stones (CBDS) in a single time using all the possible surgical strategies in our possession and this our attitude is confirmed by the positive results obtained over the years
Summary
The asymptomatic stones of the common bile duct (CBD) represents, even today, a considerable challenge for the surgeon despite the progress made both in endoscopy and laparoscopy. Just over 10 years ago, 10% of patients with symptomatic calculosis and 15% of those with acute cholecystitis had stones in the common bile duct. With the laparoscopic procedure the patients had the advantage of a more immediate and faster approach to cholecystectomy with a consequent reduction of choledocholithiasis. If the gallbladder is “in situ” the treatment is controversial i.e. ERCP followed by laparoscopic cholecystectomy (LC). Another possibility is to perform the cholecystectomy and to remove the CBD stones through the laparoscopy or to abandon the stones with subsequent ERCP after LC. Our personal tendency is to treat the CBDS in a single time using all the possible surgical strategies in our possession and this our attitude is confirmed by the positive results obtained over the years
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