caa a22 4500 477099785 CHVBK 20180405111537.0 cr unu---uuuuu 170330e19960301xx s 000 0 eng 10.1007/BF02602613 doi (NATIONALLICENCE)springer-10.1007/BF02602613 Laparoscopic cholecystectomy —How to diagnose common bile duct stones? [Elektronische Daten] [R. Rieger, W. Wayand] Diagnose von Gallengangssteinen im Rahmen der laparoskopischen Cholezystektomie Summary: Background: Simultaneous with the rapid acceptance of laparoscopic cholecystectomy as the preferred option to treat patients with symptomatic cholecystolithiasis, much controversion arose about the optimal management of coexisting common bile duct stones. Methods: Describes and discusses the value of laboratory tests, sonography, intraveous and intraoperative cholangiography and ERCP for the diagnosis of common bile duct stones in patients subjected to laparoscopic cholecystectomy. Results: The diagnostic management depends on the therapeutic procedure which is subsequently performed for common duct stones. Surgeons who prefer endoscopic bile duct clearance before cholecystectomy must focus their attention to wards preoperative duct stone diagnosis by liver chemistry, sonography and intravenous cholangiography, whereas surgeons who prefer laparoscopic extraction of duct stones must focus their attention towards intraoperative duct evaluation. Conclusions: The introduction of laparoscopic techniques into surgical practice has enlarged the options to treat common duct stones. It therefore is necessary that surgeons who perform laparoscopic cholecystectomy develop algorithms for the management of patients with coexisting duct stones by taking into account the local availability of endoscopic, laparoscopic and surgical expertise. Blackwell Science Ltd, 1996 Laparoskopische Cholezystektomie nationallicence Gallengangssteine nationallicence Diagnose nationallicence Laparoscopic cholecystectomy nationallicence common duct stones nationallicence diagnosis nationallicence Rieger R. Department of Surgery, General Hospital Linz, Austria aut Wayand W. Department of Surgery, General Hospital Linz, Austria aut Acta Chirurgica Austriaca Springer-Verlag 28/2(1996-03-01), 98-100 0001-544X 28:2<98 1996 28 10353 https://doi.org/10.1007/BF02602613 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02602613 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rieger R. Department of Surgery, General Hospital Linz, Austria aut NATIONALLICENCE 700 1- Wayand W. Department of Surgery, General Hospital Linz, Austria aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/2(1996-03-01), 98-100 0001-544X 28:2<98 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer