[Two-stage minimally invasive therapy of cholecysto- and choledocholithiasis]

Therapeutical splitting consisting of endoscopic sphincterotomy, stone removal and laparoscopic cholecystectomy is a valuable alternative method compared to open cholecystectomy with common bile duct exploration. In our prospective study we performed this procedure in 89 patients (28.7.1990-28.7.1993). Morbidity was 4.5% and mortality was 0. A follow-up study of 50 patients shows residual stones in 2% and papillary stenosis in 2%.