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Historical Perspective on the Treatment of Choledocholithiasis: Lessons Learned and Techniques Prior to the Laparoscopic Era
Pages 3-28
This volume addresses the current lack of knowledge of many general surgeons and trainees in the comprehensive management of patients with choledocholithiasis, with an emphasis on how the surgeon can provide single-stage management for the majority of patients. It begins with a historical perspective on surgical techniques for laparoscopic common bile duct exploration (LCBDE) and reviews the knowledge and experience gained during the “open” era. Subsequent chapters cover preoperative evaluation, decision-making, and operative management, including intraoperative cholangiography, intraoperative ultrasound, laparoscopic and open common bile duct exploration, laparoscopic placement of biliary stents and other adjuncts, and laparoscopic bilio-enteric bypass. The volume also provides the reader with material on the full spectrum of options including chapters on endoscopic retrograde cholangiopancreatography and percutaneous approaches to the biliary tree. The chapters on individual procedures emphasize the technical aspects of the procedures, and include rich visual resources to guide the reader (illustrations, photographs, and videos to demonstrate typical cases and also challenging cases), as well as their outcomes and complication management. Finally, there is a discussion of how to identify and overcome logistical and institutional barriers to the adoption of LCBDE, and how simulation may be used to help teach the procedure.
Choledocholithiasis: Comprehensive Surgical Management will be of great value and utility to General Surgeons, Hepatobiliary Surgeons, Surgical Residents and Fellows, Endoscopists, and Interventional Radiologists.
Historical Perspective on the Treatment of Choledocholithiasis: Lessons Learned and Techniques Prior to the Laparoscopic Era
Pages 3-28
Current Understanding of Choledocholithiasis: Clinical Presentation and Preoperative Evaluation
Pages 31-48
Preoperative Decision-Making Algorithm
Pages 49-65
Intraoperative Cholangiography
Pages 69-83
Intraoperative Ultrasound During Laparoscopic Cholecystectomy: An Alternative to Cholangiography
Pages 85-103
Laparoscopic Transcystic Common Bile Duct Exploration
Pages 105-126
Laparoscopic Transcholedochal Exploration
Pages 127-143
Stone Fragmentation Technologies and the Approach to Impacted Stones
Pages 145-157
Adjuncts to Common Bile Duct Exploration
Pages 159-176
Open Common Bile Duct Exploration
Pages 177-185
Role of Bilioenteric Bypass in the Management of Biliary Stone Disease
Pages 187-196
Endoscopic Sphincterotomy for Choledocholithiasis
Pages 197-215
Endoscopic Ultrasound in the Management of Biliary Stone Disease
Pages 217-233
Laparoscopic-Assisted Endoscopic Retrograde Cholangiopancreatography
Pages 235-242
Percutaneous Treatment of Biliary Stone Disease
Pages 243-260
Training in Laparoscopic Common Bile Duct Exploration: Role of Simulation and Its Impact on Clinical Outcomes
Pages 263-272
Economic Aspects of the Management of Choledocholithiasis
Pages 273-278
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