ENDOSCOPIC APPROACH IN RESIDUAL COMMON BILE DUCT LITHIASIS

September 1, 2012

Marin I., Zaharia Roxana, Lupu L., Catrina E., Doran H., Brezean I., Pătraşcu T.
Department of Surgery ‘Dr. I. Juvara’, Clinical Hospital ‘Dr. I. Cantacuzino’, Bucharest

Abstract

Treatment of the common bile duct lithiasis is a current challenge, constantly evolving and improving. Between 2004 and 2010, 177 patients with jaundice of lithiasic ethiology were operated on in our department. Suspicion of common bile duct lithiasis was sustained by clinical, biological and imagistic criteria, and confirmed by endoscopic retrograde cholangiopancreatography or intraoperative transcystic cholangiography. By introducing in the current practice the endoscopic interventions we observed a reduction of complications, both specific and nonspecific, simultaneously decreasing overall rates of morbidity and mortality, a decrease of hospitalization and of the social-economical costs.