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  • Sodobno zdravljenje bolnikov s simptomatsko holecistolitiazo in holedoholitiazo je - laparoskopsko = The modern treatment of patients with symptomatic gallbladder and common bile duct stones is laparoscopical
    Vračko, Jože
    The paper deals with different approaches to the treatment of patients with gallstones and common bile duct calculi. Laparoscopic cholecystectomy, extended to involve common bile duct exploration, is ... the most "patient friendly" technigue available. Since endoscopic and conventional choledocholithotripsy are still in use today, preoperatively suspected common bile duct stones can be safely extracted by preoperative endoscopic papillectomy, followed by laparoscopic cholecystectomy. The results of endoscopy must always be verified cholangiographically. If the endoscopic procedure is unsuccessful, either open choledochotomy or postoperative endoscopic extraction of retained calculi is accomplished. In patients with unsuspected choledocholithiasis, discovered by laparoscopic cholangiography orby ultrasound during cholecystectomy, the management is either conversion toconventional biliary duct exploration, or postoperative extraction of commonbile duct calculi, using endoscopic papillectomy. The latter technique, however, does not always prove succcessful. The modern treatment of patients with cholelithiasis and choledocholithiasis is a single-stage laparoscopic cholecystectomy combined with transcystic bile duct exploration, or laparoscopic choledochotomy. The advantage conferred by laparoscopic extraction of gall stones and common bile duct stones is that it preserves thefunction of the sphincter of Oddi that regulates the flow of bile and pancreatic juice into the duodenum, and thereby prevents reflux of duodenal contents into the biliary tree. Laparoscopic management has been therefore recognized as the gold standard , for treating patients with cholelithiasis and choledocholithiasis.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 9, št. 22, nov. 2004, str. 19-25)
    Vrsta gradiva - članek, sestavni del
    Leto - 2004
    Jezik - slovenski
    COBISS.SI-ID - 19042521

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