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[Complications in the treatment of cholangiolithiasis. Personal experience]
Agostino Lippolis1, Curzio Lorusso, Domenico Merlicco
1Unità Operativa di Chirurgia Generale De Blasi-Policlinico Bari, D.A.C.T.I., Sezione di Chirurgia Generale e Toracica, Università degli Studi di Bari.
Abstract:
Bile ducts lithiasis is a very common disease all over the world. In Italy prevalence is about 5 millions cases: 11% of the population. Choledocholithiasis concurrent with gallbladder stones frequency is estimated from 4 to 20%. Incidence is even higher in the elderly and in patients affected by chronic liver disease. The treatment of bile ducts lithiasis is still debated; several surgical strategies may be performed: (1) fully laparoscopic procedure; (2) endo-laparoscopic sequential treatment; (3) sequential inverse treatment (endoscopy following video laparoscopic cholecystectomy); (4) combined endo-laparoscopic treatment simultaneously performed; (5) 'open" treatment. The authors refer their experience concerning a series of 172 patients who underwent endo-laparoscopic sequential treatment to amend bile duct and gallbladder lithiasis. Complications are pointed out, pending to demonstrate safeness and effectiveness of this strategy.
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