| Автор | Toouli, James |
| Дата выпуска | 1995 |
| dc.description | A major aim in the treatment of bile duct stones detected at the time of laparoscopic cholecystectomy should be to remove the stones during the same operation. In most instances, and for patients with small stones, this aim can be achieved using techniques through the cystic duct. In patients in whom these techniques failed, the role of a duodenal approach for removing the stones was evaluated by performing perendoscopic sphincterotomy (PES) and clearing the bile duct via this route. In an initial series of 13 patients, it was demonstrated that perendoscopic sphincterotomy and extraction of stones from the bile duct can be effectively performed in patients in the supine position with minimal interference to the laparoscopic cholecystectomy operation. The perendoscopic approach does not add to the complication rate of the operation, and short-term follow-up of patients indicates no significant postoperative sequalae. This approach adds to the various techniques being developed for the minimal-access approach to the treatment of bile duct stones. |
| Издатель | Sage Publications |
| Тема | Bile duct stones |
| Тема | perendoscopic sphincterotomy. |
| Название | Peroperative Endoscopic Sphincterotomy |
| Тип | Journal Article |
| DOI | 10.1177/155335069500200208 |
| Print ISSN | 1553-3506 |
| Журнал | Surgical Innovation |
| Том | 2 |
| Первая страница | 128 |
| Последняя страница | 130 |
| Аффилиация | Toouli, James, Gastrointestinal Surgical Unit, Department of Surgery, Flinders Medical Centre, Adelaide, SA, Australia |
| Выпуск | 2 |
| Библиографическая ссылка | Perissae J., Collet D., Belliard R., et al: Laparoscopic cholecystectomy: The state of the art. A report on 700 consecutive cases. World J Surg16:1074-1082, 1992 |
| Библиографическая ссылка | Wilson TG, Jeans PL, Anthony A., et al: Laparoscopic cholecystectomy and management of choledocholithiasis . Aust NZ J Surg 63:443-450, 1993 |
| Библиографическая ссылка | Kent AL, Cox MR, Wilson TG, et al: ERCP following laparoscopic cholecystectomy. Aust NZ J Surg64:407-412, 1994 |
| Библиографическая ссылка | Fielding GA, O'Rourke NA: Laparoscopic common bile duct exploration. Aust NZ J Surg63:113-115, 1993 |
| Библиографическая ссылка | Cox MR, Wilson TG, Toouli J.: Peroperative endoscopic sphincterotomy during laparoscopic cholecystectomy for choledocholithiasis. Br J Surg82:257-259, 1995 |
| Библиографическая ссылка | Blamey SL, Imrie CW, O'Neill J., et al: Prognostic factors in acute pancreatitis. Gut25:1340-1346, 1984 |
| Библиографическая ссылка | SouthernSurgeons Club: A prospective analysis of 1,518 laparoscopic cholecystectomies. N Eng J Med324:1073-1078, 1991 |
| Библиографическая ссылка | Cotton PB: Endoscopic management of bile duct stones (apples and oranges). Gut25:587-7, 1984 |
| Библиографическая ссылка | Neoptolemos JP, Davidson PD, Shaw DE, et al: Study of common bile duct exploration and endoscopic sphincterotomy in a consecutive series of 438 patients. Br J Surg74:916-921, 1987 |
