Single-stage definitive laparoscopic management in mild XXXX .

@entity1 @entity10747 @entity656 @entity2877
BACKGROUND: Population-based studies have shown that nearly one third of @entity1 with @entity656 undergo @entity10747 ( @entity10747 ) before undergoing laparoscopic cholecystectomy (LC) (two-stage approach). The present study was designed to evaluate the safety of single-stage laparoscopic management to avoid preoperative @entity10747 . MATERIALS AND METHODS: Between June 1998 and June 2002, 35 female @entity1 and 10 male @entity1 (median age, 59 years) with uncomplicated mild @entity656 were studied prospectively and reviewed retrospectively. LC with fluoroscopic intraoperative cholangiography (IOC) or with fluoroscopic IOC and laparoscopic CBD exploration in cases of concomitant @entity2877 was performed as the definitive treatment (single-stage approach). @entity1 underwent surgery electively when symptoms had subsided and laboratory parameters had improved. RESULTS: LC alone was performed in 39 @entity1 , and an additional laparoscopic CBD exploration was performed in the remaining six. In one @entity1 , IOC yielded a false-positive result. CBD stones were detected in four cases, and debris in the CBD in one case, for an 11% incidence of concomitant @entity2877 . The conversion rate was zero, and single-stage laparoscopic treatment was successful in all cases. The overall morbidity rate was 4%. The 30-day postoperative mortality rate was zero. CONCLUSION: Although preoperative @entity10747 and sphincterotomy still have a role in complicated cases of mild @entity656 , laparoscopic single-stage definitive treatment is feasible and safe in uncomplicated cases of disease when local experience is available.
