The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Reports |

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, Author, and Disclosure 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
Text Size: A A A
This excerpt has been provided in the absence of an abstract.

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


First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.