ArticleWorld journal of gastrointestinal endoscopy2025
Gallstones and common bile duct stones management: Single-stage
Article in World journal of gastrointestinal endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe optimal management of gallstones and common bile duct stones remains a subject of ongoing debate. The conventional two-stage treatment involves initial endoscopic retrograde cholangiopancreatography (ERCP) to clear the bile duct, followed by laparoscopic cholecystectomy. Alternatively, the single-stage laparoendoscopic rendezvous (LERV) procedure combines ERCP and laparoscopic cholecystectomy in the same surgical session.
aimTo evaluate the efficacy, safety, and logistical considerations of these two approaches, emphasizing their implications for different healthcare settings.
methodsA literature search was conducted through a PubMed search (2010-2024) using the terms "laparoendoscopic rendezvous", "endoscopic retrograde cholangiopancreatography", and "cholecystocholedocholithiasis". Only English-language studies were included.
resultsIn our analysis, LERV significantly reduced the incidence of post-ERCP pancreatitis by 67% (2.4%
conclusionThe single-stage LERV approach is safe, effective, and associated with lower pancreatitis rates, shorter hospital stays, and reduced costs compared to the two-stage strategy. Its implementation, however, requires coordinated surgical-endoscopic expertise, making it most suitable for well-equipped centers and carefully selected patients.
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