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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Feb 9, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

Published on: November 25, 2025

Laparoscopic cholecystectomy and perioperative ERCP.

M Bekavac-Beslin¹, A Mijic, V Supanc

¹Department of Surgery, Sestre milosrdnice University Hospital, Zagreb, Croatia.

Hepato-Gastroenterology

|December 2, 2000

Summary

Simultaneous laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography is a safe treatment for gallstones and bile duct stones. This combined procedure offers an acceptable approach for patients with cholelithiasis and choledocholithiasis.

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Last Updated: Feb 9, 2026

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Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Published on: June 17, 2018

Area of Science:

Gastroenterology
Hepatobiliary Surgery
Minimally Invasive Procedures

Background:

Cholelithiasis (gallstones) and choledocholithiasis (bile duct stones) often require intervention.
Acute pancreatitis of biliary etiology necessitates prompt management.

Purpose of the Study:

To evaluate the acceptance and safety of a combined laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP) procedure.
To assess the efficacy of this simultaneous approach for gallstone and bile duct stone treatment.

Main Methods:

A study involving 25 patients with cholelithiasis and suspected or confirmed choledocholithiasis.
All patients underwent simultaneous laparoscopic cholecystectomy with perioperative ERCP and sphincterotomy.

Main Results:

The combined procedure was successfully completed in all 25 patients.
Early complications were minimal, including one case of prolonged hemorrhage and transient hyperamylasemia in four patients.
Patients were discharged on average by the 4th post-operative day.

Conclusions:

Simultaneous laparoscopic cholecystectomy and ERCP is a safe and effective treatment for cholelithiasis with choledocholithiasis.
This integrated approach demonstrates good patient acceptance and favorable outcomes.