摘要
The current evidence in favor of the laparoendoscopic rendezvous is promising and demonstrates the main advantages of this technique in regard to shorter hospital stay and selective cannulation of the commonbile duct(CBD), avoiding thus the inadvertent cannulation of the pancreatic duct. In addition, in the rendezvous technique the contrast medium is not injected retrogradely as during the traditional endoscopic retrograde cholangiopancreatography(ERCP), when the medium accidentally could be injected under pressure into the pancreatic duct. The RV technique minimizes that risk. Both these main advantages of the RV technique over the classic ERCP, are related with a significant lower incidence of hyperamylasemia and post-ERCP pancreatitis, compared with the traditional two stage procedure. Choledocholithiasis is present in 10% to 15% of patients undergoing cholecystectomy. To date, the ideal management of CBD stones remains controversial. Prospective randomized trials have shown that laparoscopic management of the CBD stones, as a single stage procedure, is the most efficient and cost effective method of treatment. Laparoendoscopic rendezvous has been proposed as an alternative single stage approach. Several studies have shown the effective use of this technique in the treatment of CBD stones by improving patient compliance and clinical results including shorter hospital stay, higher success rate and less cost. The current evidence about the use of this technique presented in this review article is promising and demonstrates the main advantages of the procedure.
The current evidence in favor of the laparoendoscopicrendezvous is promising and demonstrates the mainadvantages of this technique in regard to shorterhospital stay and selective cannulation of the commonbile duct （CBD）, avoiding thus the inadvertent cannulationof the pancreatic duct. In addition, in therendezvous technique the contrast medium is notinjected retrogradelyas during the traditional endoscopicretrograde cholangiopancreatography （ERCP）, whenthe medium accidentally could be injected underpressure into the pancreatic duct. The RV techniqueminimizes that risk. Both these main advantages of theRV technique over the classic ERCP, are related witha significant lower incidence of hyperamylasemia andpost-ERCP pancreatitis, compared with the traditionaltwo stage procedure. Choledocholithiasis is present in10% to 15% of patients undergoing cholecystectomy.To date, the ideal management of CBD stones remainscontroversial. Prospective randomized trials have shownthat laparoscopic management of the CBD stones,as a single stage procedure, is the most efficient andcost effective method of treatment. Laparoendoscopicrendezvous has been proposed as an alternativesingle stage approach. Several studies have shown theeffective use of this technique in the treatment of CBDstones by improving patient complianceand clinicalresults including shorter hospital stay, higher successrate and less cost. The current evidence about theuse of this technique presented in this review article ispromising and demonstrates the main advantages of theprocedure.
