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  • Sodobna laparoskopska obravnava bolnikov s kamni v žolčniku in žolčevodih = One-stage laparoscopic treatment of patients harbouring gallbladder and bile duct stones
    Vračko, Jože
    Background. Choledocholithiasis is present in 10-15 per cent of patients who have cholelithiasis. In the era of laparoscopic cholecystectomy (LC), endoscopic re trograde cholangiopancreatography ... (ERCP) with endoscopic retrograde sphincterotomy (EST) and laparoscopic common bile duct exploration (L-CBD-E) have been used to treate patients with choledocholithiasis. Aim. Thepurpose of this study is to evaluate two stage (ERCP/EST+ LC) and one stagetreatment (L-CBD-E/LC) of patients harbouring gallbladder and bile duct stones regarding succes rate of L-CBD-E, rate of complications, lenght of hospital stay and recovery. Patients and methods. According to the published data two stage and one stage treatment were compared, as well as our experience of one stage treatment is presented. Results. Success rate of one stage procedure (L-CBD-E/LC) was 94%, range between 75-100%. One stage treatment results in significantly fewer complications, shorter hospital stay and shorter recovery period. In our series, the success rate of L-CBD-E was 78%, complications rate was nil , and lenght of hospital stay and recovery period were comparable with published data. Conclusions. Advantages of one stage laparoscopic treatment of patients harbouring gallbladder and bile duct stones include short hospital stay, short recovery period and preservation of Sphincter of Oddi.
    Vir: Zbornik predavanj XXXIX. podiplomskega tečaja kirurgije, od 17.-18. oktobra 2003 (Str. 160-164)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 17069785

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