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Current status of laparoendoscopic rendezvous in the treatment of cholelithiasis with concomitant choledocholithiasis

查看全文 作　　者：Ioannis [1]Baloyiannis;George [1]Tzovaras 高影响力作者 机构地区：[1]Department of Surgery, University Hospital of Larissa高影响力机构 出　　处：《World Journal of Gastrointestinal Endoscopy》索引2015年第7卷第7期,共6页高影响力期刊 摘　　要：The current evidence in favor of the laparoendoscopic rendezvous is promising and demonstrates the main advantages of this technique in regard to shorter hospital stay and selective cannulation of the commonbile duct(CBD), avoiding thus the inadvertent cannulation of the pancreatic duct. In addition, in the rendezvous technique the contrast medium is not injected retrogradely as during the traditional endoscopic retrograde cholangiopancreatography(ERCP), when the medium accidentally could be injected under pressure into the pancreatic duct. The RV technique minimizes that risk. Both these main advantages of the RV technique over the classic ERCP, are related with a significant lower incidence of hyperamylasemia and post-ERCP pancreatitis, compared with the traditional two stage procedure. Choledocholithiasis is present in 10% to 15% of patients undergoing cholecystectomy. To date, the ideal management of CBD stones remains controversial. Prospective randomized trials have shown that laparoscopic management of the CBD stones, as a single stage procedure, is the most efficient and cost effective method of treatment. Laparoendoscopic rendezvous has been proposed as an alternative single stage approach. Several studies have shown the effective use of this technique in the treatment of CBD stones by improving patient compliance and clinical results including shorter hospital stay, higher success rate and less cost. The current evidence about the use of this technique presented in this review article is promising and demonstrates the main advantages of the procedure. 关 键 词：普通胆汁管石头 Laparoendoscopic 约会 内视镜后退 cholangiopancreatography Cholecysto-choledocholithiasis Laparoscopic 胆囊炎
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