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Related Concept Videos

Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Endoscopic Procedures V: ERCP01:26

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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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...

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Related Experiment Video

Updated: May 9, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

Common bile duct lithiasis: therapeutic approach.

Vincenzo Neri, Antonio Ambrosi, Alberto Fersini

    Annali Italiani Di Chirurgia
    |August 7, 2013
    PubMed
    Summary

    Choledochocholedocholithiasis treatment involves endoscopic or laparoscopic methods. Sequential laparo-endoscopic approaches and laparoscopic approaches alone show comparable results, making sequential methods a reference standard.

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    Published on: May 2, 2025

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    Last Updated: May 9, 2026

    A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
    03:56

    A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

    Published on: September 13, 2022

    Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
    05:36

    Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

    Published on: May 2, 2025

    Area of Science:

    • Gastroenterology
    • Minimally Invasive Surgery

    Background:

    • Cholecysto-choledocholithiasis treatment lacks a universally defined standard procedure.
    • Both endoscopic and laparoscopic minimally invasive approaches are considered.

    Purpose of the Study:

    • To compare the efficacy of sequential laparo-endoscopic stone removal followed by laparoscopic cholecystectomy versus a one-stage laparo-endoscopic rendezvous technique or laparoscopic approach alone.
    • To evaluate treatment outcomes for choledocholithiasis.

    Main Methods:

    • A retrospective review of 924 patients treated between 1997 and 2011.
    • Comparison of outcomes between endoscopic stone removal followed by laparoscopic cholecystectomy and laparoscopic approach alone.
    • Literature review to compare study results with existing data.

    Main Results:

    • Endoscopic stone removal was performed in 88.17% of patients.
    • 11.82% of patients not eligible for endoscopic procedures underwent laparotomic therapy.
    • Preoperative endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (ES) with common bile duct (CBD) cleaning followed by VASER liposuction (VLC) is frequently applied.

    Conclusions:

    • Sequential laparo-endoscopic approaches (one or two stages) and laparoscopic approach alone yield comparable results for CBD lithiasis treatment.
    • Sequential laparo-endoscopic approaches remain a reference standard for clinical evaluation of different procedures.