Related Experiment Video
Updated: May 30, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Choledocholithiasis and endo-laparoscopic rendezvous. Analysis of 59 consecutive cases
Paolo Del Rio1, Paolo Dell'Abate, Domenico Labonia
1Department of Surgical Science, General Surgery and Organ Transplantation, University of Parma, School of Medicine, Parma, Italy. paolo.delrio@unipr.it
Background:
Choledocholithiasis is a real problem of major clinical importance. The incidence of cholelithiasis is 10-20%.
Materials:
We have examined 2907 patients treated with videolaparoscopic cholecystectomy (VLC) between January 2001 and September 2009. 214 cases (7.4%) were affected by choledocolithiasis; among these, 59 consecutive cases were treated by rendezvous, 151 cases by sequential treatment (ERCP-ES before VLC), 3 cases by extraction with Dormia's basket, and 1 case by ERCP-ES after VLC.
Results:
The complications were one biliary fistula and three hemorrhages (one from the cystic artery, one from the hepatic area and one from trocar's site). The mean hospital stay was 1.38 +/- 0.83 days for the rendezvous group vs 4 53 +/- 0.74 days in the sequential treatment group (p<0.004). The satisfaction scores were 6.6 +/- 1.39 versus 5.7 +/- 0.96 (p<0.004).
Conclusions:
The rendezvous procedure reduces hospital stay and has a greater compliance (only one treatment). We can use this option in the management of cases where preoperative ERCP-ES has failed.
