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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 laparoscopicalVračko, JožeThe 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, november 2004, str. 19-25)Vrsta gradiva - članek, sestavni delLeto - 2004Jezik - slovenskiCOBISS.SI-ID - 19042521
Avtor
Vračko, Jože
Teme
Cholelithiasis |
Diagnosis |
Surgery |
Common Bile Duct Calculi |
Diagnosis |
Surgery |
Cholecystectomy, Laparoscopic |
Cholangiopancreatography, Endoscopic Retrograde |
Sphincterotomy, Endoscopic |
Cholangiography |
Oddi'S Sphincter |
Treatment Outcome |
Holangiopankreatografija endoskopska, retrogradna |
Holecistoktemija laparoskopska |
Holedohus, kamni |
Sfinkterotomija endoskopska |
Žolčni kamni |
Holangiografija |
Oddijev sfinkter |
Zdravljenje, izid
Vnos na polico
Trajna povezava
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Baze podatkov, v katerih je revija indeksirana
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vračko, Jože | 06965 |
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