Abstract
The management of biliary tract disease has changed completely as a result of minimally invasive treatment. For most patients with gallstones that cause symptoms a laparoscopic cholecystectomy will treat the condition with minimal morbidity and a short recovery period. If complications are encountered, conversion to a mini-cholecystectomy gives results that are nearly as good. Acute cholecystitis can be treated by percutaneous drainage followed either by percutaneous cholecystolithotomy or a laparoscopic cholecystectomy. Gallstones in the bile duct are best treated by endoscopic sphincterotomy with duct clearance. The day of the large cholecystectomy scar with its subsequent incisional hernia has gone.
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- Brendel W., Enders G. Shock waves for gallstones: animal studies. Lancet. 1983 May 7;1(8332):1054–1054. doi: 10.1016/s0140-6736(83)92687-9. [DOI] [PubMed] [Google Scholar]
- Chaussy C., Schmiedt E., Jocham D., Brendel W., Forssmann B., Walther V. First clinical experience with extracorporeally induced destruction of kidney stones by shock waves. J Urol. 1982 Mar;127(3):417–420. doi: 10.1016/s0022-5347(17)53841-0. [DOI] [PubMed] [Google Scholar]
- Deziel D. J., Millikan K. W., Economou S. G., Doolas A., Ko S. T., Airan M. C. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg. 1993 Jan;165(1):9–14. doi: 10.1016/s0002-9610(05)80397-6. [DOI] [PubMed] [Google Scholar]
- Dubois F., Icard P., Berthelot G., Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg. 1990 Jan;211(1):60–62. doi: 10.1097/00000658-199001000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McKernan J. B., Saye W. B. Laparoscopic general surgery. J Med Assoc Ga. 1990 Mar;79(3):157–159. [PubMed] [Google Scholar]
- Perissat J., Collet D. R., Belliard R. Gallstones: laparoscopic treatment, intracorporeal lithotripsy followed by cholecystostomy or cholecystectomy--a personal technique. Endoscopy. 1989 Dec;21 (Suppl 1):373–374. doi: 10.1055/s-2007-1012994. [DOI] [PubMed] [Google Scholar]
- Sackmann M., Delius M., Sauerbruch T., Holl J., Weber W., Ippisch E., Hagelauer U., Wess O., Hepp W., Brendel W. Shock-wave lithotripsy of gallbladder stones. The first 175 patients. N Engl J Med. 1988 Feb 18;318(7):393–397. doi: 10.1056/NEJM198802183180701. [DOI] [PubMed] [Google Scholar]
- Sauerbruch T., Delius M., Paumgartner G., Holl J., Wess O., Weber W., Hepp W., Brendel W. Fragmentation of gallstones by extracorporeal shock waves. N Engl J Med. 1986 Mar 27;314(13):818–822. doi: 10.1056/NEJM198603273141304. [DOI] [PubMed] [Google Scholar]