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Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis

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Abstract

Background

Different approaches are available for the treatment of combined cholecystocholedocholithiasis including totally laparoscopic (TL) treatment, simultaneous laparoendoscopic treatment, and sequential treatments (ST) combining endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (ES) with cholecystectomy. This review aimed to clarify the issue of the simultaneous laparoendoscopic rendezvous (RV).

Methods

A careful analysis of papers was performed to determine the results, technical differences, limits, disadvantages, and advantages of RV compared with other options.

Results

Data were collected from 27 papers concerning 795 patients. The overall effectiveness of RV was 92.3%. The morbidity rate was 5.1%, and the mortality rate was 0.37%. Almost all the authors were satisfied with the procedure. The authors’ comparison to ST and TL showed that the advantages outweigh the disadvantages mostly related to logistical problems.

Conclusions

There is confusion concerning the definitions and techniques of RV due to differences in combining surgical and endoscopic steps of the procedure. The results are at least comparable with those of the other available approaches. The effectiveness of RV is greater with reciprocal implementation of surgical and endoscopic procedures. The morbidity and the risk of iatrogenic damage seem lower than with ERCP-ES and the risk of residual stones lower than with TL treatment. The RV procedure is safe and can sometimes be the preferable option, but collaboration between surgeon and endoscopist is mandatory.

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Disclosure

Drs. Gaetano La Greca, Francesco Barbagallo, Maria Sofia, Saverio Latteri, and Domenico Russello have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgical Science, Transplantation and Advanced Technologies, University of Catania, Cannizzaro Hospital, Via Messina 829, 95100, Catania, Italy

    Gaetano La Greca, Francesco Barbagallo, Maria Sofia, Saverio Latteri & Domenico Russello

  2. Via Messina 354, 95126, Catania, Italy

    Gaetano La Greca

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  1. Gaetano La Greca
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  2. Francesco Barbagallo
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  3. Maria Sofia
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  4. Saverio Latteri
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Correspondence to Gaetano La Greca.

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La Greca, G., Barbagallo, F., Sofia, M. et al. Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis. Surg Endosc 24, 769–780 (2010). https://doi.org/10.1007/s00464-009-0680-3

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