The use of ERCP in the management of common bile duct stones in patients undergoing laparoscopic cholecystectomy

摘要: The purpose of this study was to evaluate the indications and results endoscopic retrograde cholangiopancreatography (ERCP) for gallstone disease since advent laparoscopic cholecystectomy. In our personal series 410 consecutive cases cholecystectomy, we found 17 common bile duct (CBD) stones; seven were identified by preop ERCP, nine at laparoscopy intraoperative cholangiography, one postop ERCP. We have performed ERCP in 21 patients (5.1%); CBD stones seven. Our elevated liver function tests, dilatation ultrasound, or a history jaundice/pancreatitis, all successfully removed sphincterotomy. At cholecystectomy treated with methods, four open exploration, sphinecterotomy. Post-laparoscopic five underwent pain increased tests suggestive stones. One these is very useful as diagnostic therapeutic modality suspected Elevated dilated ultrasound are most accurate predictors Endoscopic sphincterotomy more effective route, present, stone removal than approach.