“Rendezvous” laparoendoscópico secuencial en colelitiasis con cálculos en colédoco

Abstract

Background: The usual management of patients with cholelithiasis in whom a choledocholithiasis is suspected, is to perform en endoscopic cholangiography prior to laparoscopic cholecystectomy. However a new approach is to perform both procedures simultaneously using a rendezvous technique, to reduce complications and improve the rate of successful bile duct cannulation. Aim: To report the experience with simultaneous endoscopic cholangiography and laparoscopic cholecystectomy. Material and Methods: Eighteen patients with cholelithiasis and a high suspicion of choledocholithiasis were considered eligible for the study. The technique was modified, performing first the cholecystectomy and afterwards the endoscopic cholangiography. Results: In four patients, the intraoperative cholangiography did not show the presence of choledocholithiasis. In the rest, the presence of choledocholithiasis was confirmed and 13 were subjected to the rendezvous technique, that was successful in all. Conclusions: Simultaneous endoscopic cholangiography during laparoscopic cholecystectomy is feasible and safe.