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Combined Endoscopic Sphincterotomy and Laparoscopic Cholecystectomy in Patients with Choledocholithiasis and Cholecystolithiasis

Giuseppe Aliperti, MD; Steven A. Edmundowicz, MD; Nathaniel J. Soper, MD; and Stanley W. Ashley, MD
[+] Article and Author Information

Requests for Reprints: Giuseppe Aliperti, MD, Gastroenterology Clinical Section, Washington University School of Medicine, One Barnes Hospital Plaza, St. Louis, MO 63110.

Current Author Addresses: Drs. Aliperti, Edmundowicz, and Soper: Washington University School of Medicine, One Barnes Hospital Plaza, St. Louis, MO 63110.

Dr. Ashley: Department of Surgery, UCLA School of Medicine, Center for Health Sciences, 10833 Le Conte Avenue, Los Angeles, CA 90024-1749.


Ann Intern Med. 1991;115(10):783-785. doi:10.7326/0003-4819-115-10-783
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Laparoscopic cholecystectomy is rapidly becoming the preferred surgical treatment for patients with symptomatic cholelithiasis. The smaller incision and the associated decrease in postoperative pain and disability allow for a shorter hospital stay and rapid return to full activity (1, 2). Laparoscopic cholecystectomy is generally limited to patients with cholecystolithiasis alone, because laparoscopic removal of stones from the common bile duct is difficult (3). We describe our experience with a combined endoscopic-laparoscopic approach for clearance of the common bile duct and removal of the gallbladder in symptomatic patients with simultaneous cholecystolithiasis and choledocholithiasis.

Patients and Methods: Three hundred twenty-six consecutive patients

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